Use the Orto-SUV frame in children with congenital radial clubhand: A clinical case

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Abstract

BACKGROUND: The shortening of the forearm in children with congenital radial clubhand and multi-plane deformity of the ulna is challenging to treat by surgery. The literature shows single studies using the Ortho-SUV frame for the correction of forearm deformity in multiple exostosis chondrodysplasia and patients with posttraumatic deformities.

CLINICAL CASE: A 17-year-old patient with congenital radial clubhand who had a relapse of hand deviation undergo correction of forearm deformity. The elimination of radial hand deviation and ulnar deformity correction in the distal part with subsequent elongation were performed.

DISCUSSION: No data on the use of the Ortho-SUV frame for the correction of ulnar multiplanar deformity in radial clubhand are available. Indicators, i.e., fixation index, osteosynthesis index, lengthening, and complications, were compared with the indicators used for ulnar elongation with a small angle of radial deviation of the hand.

CONCLUSIONS: Personalized plan of forearm deformity correction based on the anatomical features of the congenital radial clubhand and X-ray indicators allowed achieving good cosmetic and functional results.

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About the authors

Natalia V. Avdeychik

H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma

Author for correspondence.
Email: natali_avdeichik@mail.ru
ORCID iD: 0000-0001-7837-4676
SPIN-code: 6059-4464
Scopus Author ID: 57193273547

MD, PhD, Cand. Sci. (Med.)

Russian Federation, Saint Petersburg

Ekaterina A. Zakharyan

H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery

Email: zax-2008@mail.ru
ORCID iD: 0000-0001-6544-1657
SPIN-code: 4851-9908
Scopus Author ID: 57193258044
ResearcherId: T-3072-2018

MD, PhD, Cand. Sci. (Med.)

Russian Federation, Saint Petersburg

Denis Y. Grankin

H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery

Email: grankin.md@gmail.com
ORCID iD: 0000-0001-8948-9225

MD, Research Associate

Russian Federation, Saint Petersburg

Andrey V. Safonov

H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery

Email: safo125@gmail.com
ORCID iD: 0000-0003-1923-7289

MD, PhD, Cand. Sci. (Med.)

Russian Federation, Saint Petersburg

References

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  2. Avdeychik NV, Golyana SI, Grankin DYu, et al. Lengthening of the ulna by external fixation in children with congenital radial club hand. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2019;7(4):57–66. (In Russ.). DOI: 10.17816/ PTORS7457-66
  3. Vilensky VA, Pozdeev AA, Zubairov TF, et al. Treatment of pediatric patients with lower extremity deformities using software-assisted Ortho-SUV Frame: analysis of 213 cases. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2016;4(4):21–32. (In Russ.). doi: 10.17816/PTORS4421-32
  4. Mazhar F, Shariatzadeh H, Balvardi M, et al. Recurrence rate of radial deviation following the centralization surgery of radial club hand. Med J Islam Repub Iran. 2018;32(18):1–5. doi: 10.14196/mjiri.32.18
  5. Damore E, Kozin SH, Thoder JJ, et al. The recurrence of deformity after surgical centralization for radial clubhand. J Hand Surg Am. 2000;25(4):745–751. doi: 10.1053/jhsu.2000.6460
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  9. Tishkov NV, Rudakov AN, Puseva ME. Clinical use of Ortho-SUV transosseous hexapod in treatment of lower limb false joints. Acta Biomedica Scientifica. 2016;1(4):78–84. (In Russ.)
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Supplementary files

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2. Fig. 1. Appearance of the forearm and hand of 17-year-old patient Y.

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3. Fig. 2. Patient Ya., 17 years old. Radiograph of the forearms, capturing the hand and elbow joint

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4. Fig. 3. Patient Ya., 17 years old. Radiograph of the forearm, capturing the hand and elbow joint intraoperatively

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5. Fig. 4. Patient Ya., 17 years old. Appearance after remounting of the external fixation device and the Ortho-SUV repositioning unit installed before deformity correction

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6. Fig. 5. Patient Ya., 17 years old. Stage 1 of calculating the correction of forearm deformity in the software of the Ortho-SUV repositioning unit

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7. Fig. 6. Patient Ya., 17 years old. Appearance of the forearm and radiographs after completion of the deformity correction with the Ortho-SUV repositioning unit

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8. Fig. 7. Patient Ya., 18 years old. Appearance and radiograph of the forearm, capturing the hand and elbow joint after immobilization

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