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

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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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作者简介

Natalia Avdeychik

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

编辑信件的主要联系方式.
Email: natali_avdeichik@mail.ru
ORCID iD: 0000-0001-7837-4676
SPIN 代码: 6059-4464
Scopus 作者 ID: 57193273547

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

俄罗斯联邦, Saint Petersburg

Ekaterina 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 代码: 4851-9908
Scopus 作者 ID: 57193258044
Researcher ID: T-3072-2018

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

俄罗斯联邦, Saint Petersburg

Denis 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

俄罗斯联邦, Saint Petersburg

Andrey 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.)

俄罗斯联邦, Saint Petersburg

参考

  1. Kawabata H, Shibata T, Masatomi T, et al. Residual deformity in congenital radial club hands after previous centralisation of the wrist. Ulnar lengthening and correction by the Ilizarov method. J Bone Joint Surg Br. 1998;80-B(5):762–765. doi: 10.1302/0301-620x.80b5.8839
  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
  6. Solomin LN, Utekhin AI, Vilensky VA. Orto-SUV frame: a transosseous device, the work of which is based on computer navigation. Genij ortopedii. 2011;(2):148–156. (In Russ.)
  7. Solomin LN, Ukhanov KA, Mashkov VM, et al. Determination of optimal assemblies of software-based Ortho-SUV frame for correction of complex midfoot and hindfoot deformities. Traumatology and Orthopedics of Russia. 2014;20(1):72–79. (In Russ.). doi: 10.21823/2311-2905-2014-0-1-72-79
  8. Bukharev EV, Pozdeev AP, Zubairov TF. Сomparative study of computer-assistance Ortho-SUV external fixation and conventional hybrid external fixation in adolescent with genu recurvatum. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2015;3(2):10–14. (In Russ.). doi: 10.17816/PTORS3210-14
  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.)
  10. Dolgiev BH, Garkavenko YuE, Pozdeev AP. Correction of femoral deformities of inflammatory genesis (osteomyelitis sequalae) in children: an analysis of the treatment results of 76 patients. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2019;7(4):37–48. (In Russ.). doi: 10.17816/PTORS7437-48
  11. Zakharyan EA, Sigareva YA, Pozdeev AP. Modern methods of osteosynthesis in the treatment of children with congenital posterior-medial bowing of tibia. Modern problems of science and education. 2020;(4):21. (In Russ.). doi: 10.17513/spno.30033
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  14. Wessel LE, Sacks HA, Fufa DT, et al. Use of hexapod frame to gradually correct congenital and acquired forearm deformity. Journal of Limb Lengthening & Reconstruction. 2019;5(1):11–16. doi: 10.4103/jllr.jllr_22_18
  15. Al-Sayyad MJ. Taylor spatial frame in the treatment of upper extremity conditions. J Pediatr Orthop. 2012;32(2):169–178. doi: 10.1097/BPO.0b013e3182471ae4
  16. Vuillermin C, Butler L, Ezaki M, et al. Ulna growth patterns after soft tissue release with bilobed flap in radial longitudinal deficiency. J Pediatr Orthop. 2018:38(4):244–248. doi: 10.1097/BPO.0000000000000807

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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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