The Paley ulnarization of the carpus with ulnar shortening osteotomy for treatment of radial club hand

Paley, Dror

doi:10.1051/sicotj/2016040

Cited by 19 publications

(22 citation statements)

References 19 publications

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“…Overgrowth of the distal ulna relative to the carpus and excessive ulnar deviation reported as the biggest problems of ulnarization. To prevent this complication, Paley recommended to reduce distraction force on the ulnar head by ulnar shortening [26].…”

Section: Discussionmentioning

confidence: 99%

Clinical and functional results of radial club hand with centralization and pollicization using the second metacarpus: A clinical case series

Lahiji

Asgari

Mirzaee

et al. 2019

International Journal of Surgery Case Reports

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Highlights Radial club hand (RCH) is a rare congenital deformity leading in several functional and psychological problems. Treatment of RCH should begin as soon as possible after birth. Treatment of patients with RCH by primary traction and centralization and pollicization surgery, can greatly improve the deformity. Early centralization and pollicization can significantly restore the range of motion and function in patients with RCH.

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Section: Discussionmentioning

confidence: 99%

Clinical and functional results of radial club hand with centralization and pollicization using the second metacarpus: A clinical case series

Lahiji

Asgari

Mirzaee

et al. 2019

International Journal of Surgery Case Reports

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“…Ulnarization is the first treatment of RCH, which has demonstrated no recurrence or growth arrest. Although this method has its drawbacks such as overgrowth of the distal ulna relative to the carpus and excessive ulnar deviation, the promising results of this method might suggest substitution of this method with the traditional techniques in the near future ( 20 ).…”

Section: Discussionmentioning

confidence: 99%

Recurrence rate of radial deviation following the centralization surgery of radial club hand

Mazhar

Shariatzadeh

Balvardi

et al. 2018

Med. J. Islam. Republic Iran

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Background: Congenital radial club hand (RCH), as a rare congenital deformity of the upper extremity, is characterized by a wide spectrum of malformations including radial deviation. Centralization surgery is the standard treatment for severe cases that have been associated with a high rate of recurrence. This study reports the long-term results and recurrence rate of radial deviation following the centralization surgery of RCH. Methods: The medical records of 13 congenital RCH patients (16 hands), who underwent centralization surgery, were reviewed retrospectively. Hand-forearm angle (HFA), hand-forearm position (HFP), and ulnar bow (UB) were used to assess forearm angles. Results: The mean age of the patients was 19.4±8.9 months, and their mean follow-up was 62.1±39.9 months. The mean HFA correction was 29.4°±23.9°, the mean HFA recurrence was 13.3°±13.7°, the mean correction of HFP was 13.4±7.3 mm, and the mean recurrence of HFP was 1.4±2.8 mm. The mean UB showed 7.6°±12.5° correction immediately after surgery and a further 3.6°±7.3° at the last follow-up (overall 11.2°±17.6°). A number of 12 out of 13 parents were completely satisfied with the results. Conclusion: According to our results, an acceptable long-term result is expected after the centralization surgery of RCH. However, the risk of the recurrent radial deviation is high and needs to be optimized in future investigations.

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“…При данных типах, когда имеется критическое недоразвитие лучевой кости либо ее полное отсутствие, реконструктивные операции направлены на стабилизацию кисти на локтевой кости. Операцией выбора в этом случае, по данным литературы, является центрация кисти [4][5][6]. Значительно реже встречаются I и II типы косорукости.…”

Section: Introductionunclassified

Lengthening of radius in patients with congenital radial club hand, type II

Avdeychik

Валерьевна²,

Golyana

et al. 2019

Pediatr Traum Orthop Reconstr Surg

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Background. Congenital radial club hand (CRCH) is characterized by longitudinal underdevelopment of the forearm and hand on the radial surface. Underdevelopment can range from hypoplasia to aplasia of the radius. More than 50 methods to correct the forearm deformities, depending on the degree of radius underdevelopment, have been proposed. Aim. We evaluated the results of CRCH treatment using microsurgical technique and external fixation. Methods. We analyzed 16 patients (age, 4.6 0.9 years) with CRCH type II, according to the classification of Bayne and Klug, treated between 1994 and 2017. The patients were divided into two groups: Group 1 were patients undergoing microsurgical autotransplants of the epimetaphyseal second metatarsal bone with growth plate to the position of the radius defect and group 2 were patients treated by lengthening of the radius with external fixation. We analyzed the types of deformities, size of the radius defects, and range of motion in upper limb joints before the stage of the lengthening. External fixation index and number of complications also were determined. The type and number of recurrent deformities and timing of their detection were analyzed. Results. The observation period ranged from 12 months to 10 years (average, 3.8 years). In group 1, good results were obtained in 62.5% of cases. After transplantation of the metatarsal bone growth plate, the work of the growth plate continued, characterized by increasing radius length in the later observation period. In group 2, good results were obtained in 50% of cases. Clinical and X-ray examinations showed recurrent hand deviation and radius shortening, which required repeated radius lengthening. Conclusion. Microsurgical transplantation of the second metatarsal bone with growth plate is accepted more in reconstruction of the radial bone in patients with CRCH type II due to creation of a growth zone in the distal part of the radius. Radius lengthening via external fixation is applicable while maintaining the distal epimetaphysis and normal transverse dimensions of the radial bone.

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The Paley ulnarization of the carpus with ulnar shortening osteotomy for treatment of radial club hand

Cited by 19 publications

References 19 publications

Clinical and functional results of radial club hand with centralization and pollicization using the second metacarpus: A clinical case series

Clinical and functional results of radial club hand with centralization and pollicization using the second metacarpus: A clinical case series

Recurrence rate of radial deviation following the centralization surgery of radial club hand

Lengthening of radius in patients with congenital radial club hand, type II

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