Minimally Invasive Derotational Osteotomy of the Forearm Bones in Congenital Radioulnar Synostosis in Children

Abstract


Clinical experience of surgical treatment for radioulnar synostosis in 6 children is presented. In all cases forearm derotational osteotomy at the level of synostosis with pin fixation has been performed. The technique of the intervention, peculiarities of fixator placement and other nuances of the surgery that allow avoiding potential complications are described in details. Follow up period made up 1 year after surgery. Improvement of operated extremity function was achieved in all patients. Presented technique of surgical treatment is effective, comparatively safe and enables to improve spatial position of the forearm and hand in short terms.

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About the authors

O. V Kozhevnikov

N.N. Priorov National Medical research center of traumatology and orthopaedics

Moscow, Russia

Svetlana E. Kralina

N.N. Priorov National Medical research center of traumatology and orthopaedics

Email: 10otdcito@mail.ru
Moscow, Russia
Cand. med. sci., senior scientific worker, department of children orthopaedics

References

  1. Kanaya K., Iba K., Yamashita T. Long-term results after a free vascularized adipofascial graft for congenital proximal radioulnar synostosis with an average followup of 10 years: a series of four cases. J. Shoulder Elbow Surg. 2016; 25 (8): 1258-67. doi: 10.1016/j.jse.2016.04.009
  2. Shingade V.U., Shingade R.V., Ughade S.N. Results of single-staged rotational osteotomy in a child with congenital proximal radioulnar synostosis: subjective and objective evaluation. J. Pediatr. Orthop. 2014; 34 (1): 63-9. doi: 10.1097/BPO.0b013e3182a00890.
  3. Garg G., Gupta S.P. Surgical outcome of delayed presentation of congenital proximal radioulnar synostosis. SICOT J. 2015; 1: 33. doi: 10.1051/sicotj/2015035.
  4. Bishay S.N. Minimally invasive single-session doublelevel rotational osteotomy of the forearm bones to correct fixed pronation deformity in congenital proximal radioulnar synostosis. J. Child Orthop. 2016; 10 (4): 295-300. doi: 10.1007/s11832-016-0750-8.
  5. Simcock X., Shah A.S., Waters P.M., Bae D.S. Safety and efficacy of derotational osteotomy for congenital radioulnar synostosis. J. Pediatr. Orthop. 2015; 35 (8): 838-43. doi: 10.1097/BPO.0000000000000370.
  6. Hwang J.H., Kim H.W., Lee D.H. et al. One-stage rotational osteotomy for congenital radioulnar synostosis. J. Hand Surg. Eur. Vol. 2015; 40 (8): 855-61. doi: 10.1177/1753193415580066.
  7. Horii E., Koh S., Hattori T., Otsuka J. Single osteotomy at the radial diaphysis for congenital radioulnar synostosis. J. Hand Surg. Am. 2014; 39 (8): 1553-7. doi: 10.1016/j. jhsa.2014.05.018.
  8. Seitz W.H., Gordon T.L., Konsens R.M. Congenital radioulnar synostosis. A new technique for derotational osteotomy. Orthop. Rev. 1990; 19: 192-96.
  9. Green W.T., Mital M.A. Congenital radio-ulnar synostosis: surgical treatment. J. Bone Joint. Surg. Am. 1979; 61 (5): 738-43.
  10. Lin H.H., Strecker W.B., Manske P.R. et al. A surgical technique of radioulnar osteoclasis to correct severe forearm rotation deformities. J. Pediatr. Orthop. 1995; 15 (1): 53-8.
  11. Sachar K., Akelman E., Erlich M.G. Radioulnar synostosis. Hand Clin. 1994; 10 (3): 399-404.
  12. Ogino T., Hikino K. Congenital radio-ulnar synostosis: compensatory rotation around the wrist and rotation osteotomy. J. Hand Surg. Br. 1987; 12 (2): 173-8.

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Copyright (c) 2017 Kozhevnikov O.V., Kralina S.E.

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