Single Osteotomy at the Radial Diaphysis for Congenital Radioulnar Synostosis

Horii, Emiko; S, Koh; Hattori, Tatsuya; Otsuka, Junko

doi:10.1016/j.jhsa.2014.05.018

Cited by 26 publications

(41 citation statements)

References 20 publications

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“…In that series, complications included 1 case of symptomatic muscle herniation and 3 cases of transient nerve paralysis, 2 of which corresponded to transient anterior interosseous nerve palsies with rotational corrections that exceeded 80 degrees. The other osteotomy approach is at the radial diaphysis and is fixed only with a cast, which has yielded good results and few complications, but this procedure requires a cast change 2 weeks after surgery [15]. In our series, all patients underwent derotational osteotomy at the synostosis site followed by the plate for rigid internal fixation in case of correction loss, and plaster splint was used for external immobilization, which enabled convenient close observation to monitor edema and peripheral circulation as well as ease of release.…”

Section: Discussionmentioning

confidence: 99%

“…Currently, derotational osteotomy remains the most commonly performed procedure in patients with CRUS [3, 5–8], which alters the position of the forearm from hyperpronation to a more functional position to reduce supination limitations and to allow patients to more easily perform activities of daily life. There are many types of osteotomy and fixation methods, including derotational osteotomy at the synostosis site with K-wire fixation [9], one-stage or two-stage double-level derotational osteotomy of the ulna and the radius fixed with plaster casts [7, 10], one- stage double-level derotational osteotomy of the ulna and the radius with K-wire fixation [11, 14], and single osteotomy of the radial diaphysis fixed with plaster casts [8, 15]. The reported complications of the above methods include nerve palsy, compartment syndrome, loss of correction, residual angulation, delayed union, and nonunion.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy and feasibility of proximal radioulnar derotational osteotomy and internal fixation for the treatment of congenital radioulnar synostosis

Pei¹,

Han²

2019

J Orthop Surg Res

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BackgroundThe aim of this study was to assess the feasibility and efficacy of proximal radioulnar derotational osteotomy followed by internal fixation for the treatment of congenital radioulnar synostosis (CRUS).MethodsBetween May 2008 and August 2016, 31 patients (36 forearms) with CRUS who underwent derotational osteotomy at the proximal radioulnar synostosis site were evaluated. There were 20 boys and 11 girls. The mean age at the time of surgery was 4.87 ± 3.06 (range, 2 to 13) years. The forearm was derotated to the goal position (20 degrees of supination to 10 degrees of pronation) using plates for internal fixation and plaster splints for external immobilization. Pre- and postoperative positions of the forearm were recorded; forearm function was evaluated based on the classification system proposed by Failla et al.ResultsThe mean follow-up duration was 55.19 ± 27.10 (24 to 123) months. The mean initial pronation deformity was 62.92 ± 7.11 (55 to 80) degrees. The mean correction achieved was 70.86 ± 9.58 (50 to 90) degrees, resulting in a mean final position of 7.94 ± 7.25 degrees of supination (20 degrees of supination to 10 degrees of pronation). Based on the Failla classification system, 2 forearms were rated as good, 30 were rated as fair, and 4 were rated as poor preoperatively. At the final follow-up, 34 forearms were rated as excellent and 2 were rated as good. All patients achieved bone union after 2 months. Complications occurred in three patients (two transient nerve palsies and one compartment syndrome), and the overall complication rate was 9.7%.ConclusionsProximal radioulnar derotational osteotomy followed by plate fixation is a safe and feasible procedure with a low complication rate. The technique can effectively improve the function of the forearm.Level of evidence IVRetrospective case series

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficacy and feasibility of proximal radioulnar derotational osteotomy and internal fixation for the treatment of congenital radioulnar synostosis

Pei¹,

Han²

2019

J Orthop Surg Res

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“…Derotation osteotomy of the forearm was effective in correcting pronation deformities in young children with congenital radioulnar synostosis 51,52 . Although soft-tissue distraction facilitates centralization for congenital radial longitudinal deficiency, it does not prevent recurrence of deformity 53 .…”

Section: Pediatric and Adult Reconstructionmentioning

confidence: 99%

What’s New in Limb Lengthening and Deformity Correction

Sabharwal¹,

Green

McCarthy

et al. 2015

The Journal of Bone and Joint Surgery

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“…El objetivo del tratamiento quirúrgico es conseguir que los antebrazos adquieran una posición más funcional para la vida del paciente. Se han publicado buenos resultados con la osteotomía desrotacional aislada del radio [7][8][9] ; la osteotomía a dos niveles (cúbito y radio) 10,11 ; y el uso complementario de fijadores externos 12 .…”

Section: Imagen Problema Discusiónunclassified