Outcomes of radialization for radial longitudinal deficiency: 20 limbs with minimum 5-year follow-up

Abstract

IV.

Current concepts in the management Radial Longitudinal Deficiency

“…The distal ulna hypertrophied to 97% of the opposite distal radius. 27 The median loss of correction of hand-forearm angle was 9 0 . 27 All hands improved on the assessment scores demonstrating the benefit of radialization.…”

“…27 The median loss of correction of hand-forearm angle was 9 0 . 27 All hands improved on the assessment scores demonstrating the benefit of radialization. However, the authors suggested the need for secondary procedures for long-term maintenance of wrist alignment and hand function.…”

“…27 Objective assessment and subjective scoring for functional and cosmetic outcomes were done. 27 They showed the length of the affected ulna to be 56% of normal. The distal ulna hypertrophied to 97% of the opposite distal radius.…”

“…However, the authors suggested the need for secondary procedures for long-term maintenance of wrist alignment and hand function. 27 Geck et al did a survivorship analysis with an end point of revision surgery for recurrence in 29 RLD limbs treated with either radialization or centralization. 28 1/3rd of their patients presented with recurrence that was subsequently treated by revision centralization.…”

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

“…Radial club hand (RCH) or radial dysplasia is a complex congenital difference occurring in a longitudinal direction resulting in radial deviation of the wrist and shortening of the forearm. In this condition, hand radially deviated at the distal forearm in the shape of a golf club [[1], [2], [3]]. Bone disorders are the most important part of RCH, but abnormalities of muscles, arteries, nerves and joints can greatly affect the function and treatment of upper limb [4].…”