Release of Extensive Post Traumatic Radio-Ulnar Synostosis with Vascularized Free Flap Interposition

Malhotra, Gopal; Patil, Rahul K; Yassari, Ghassan Al; Ibrahim, Emad M.; Komma, Venkata Nageshwara Reddy

doi:10.1007/s43465-021-00395-5

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…[13][14][15] Some authors have even suggested the combination of all 3 modalities to achieve better results. [16][17][18] The main aim of this study was to report on cases that underwent surgery with a combination of prophylactic triple therapy to confirm that the results are consistently excellent and in keeping with the experiences shared by other centers.…”

mentioning

confidence: 53%

Post-traumatic radioulnar synostosis: a retrospective case series of 10 patients in Kuwait

Azeem

Al-Hojailan²,

Awad³

et al. 2022

Journal of Shoulder and Elbow Surgery

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confidence: 53%

Post-traumatic radioulnar synostosis: a retrospective case series of 10 patients in Kuwait

Azeem

Al-Hojailan²,

Awad³

et al. 2022

Journal of Shoulder and Elbow Surgery

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“…The radioulnar synostosis is seen commonly in cases with high energy forearm fracture, extensive soft tissue or burn injury, and concomitant head or neurological injury. Other factors associated are the presence of comminuted forearm fracture, delayed surgery, single incision used for fixing both bone fractures, prolonged immobilization or delayed rehabilitation [ 6 ]. As our case had a history of childhood injury but with no documentary evidence, we could only assume that the injury and conservative management might have resulted in the formation of synostosis while the fracture united.…”

Section: Discussionmentioning

confidence: 99%

Post-Traumatic Radio-ulnar Synostosis Managed by the Excision of the Bone Bridge and Palmaris Longus Encircling Loop over the Ulna: A Case Report

Dharmshaktu,

Yadav

2024

jocr

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Introduction: Radioulnar synostosis is an uncommon complication of forearm fractures and presents with varying degrees of restricted forearm movement. The diaphysial distal third synostosis is less common and excision of the synostosis is fraught with risk of re-ossification. Use of inert or biological interposing material has thus been accompanied with the synostosis excision and various methods have been described. There is still no consensus on the ideal treatment method. Case Report: We, hereby, report a case of a long-standing radioulnar synostosis with rotational restriction of movement. Despite the movement restriction, the patient could perform basic activities of daily living and wanted to improve the movements. The presence of diaphyseal radioulnar synostosis was conformed on the radiographs and computerized tomography scan. A volar forearm approach was used and the bony bridge was excised. The ipsilateral native palmaris longus (PL) tendon was extracted from distal wrist crease and with its proximal attachment intact, circumferentially wrapped around the ulnar raw surface as an interposing material. Apart from this, free fat was also placed at the synostosis site. In the long-term follow-up of 10 years, there was no radiological evidence of re-ossification noted. The clinical improvement was not much but the patient was performing activities of daily living with no discomfort. Conclusion: The use of an encircling loop of the native PL tendon, over the raw surface of one of the forearm bones, may be another useful method to decrease the chances of recurrence following the excision of the synostosis. Keywords: Post-traumatic synostosis, radioulnar synostosis, excision, forearm bone synostosis, heterotopic ossification, management.

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Release of Extensive Post Traumatic Radio-Ulnar Synostosis with Vascularized Free Flap Interposition

Cited by 2 publications

References 14 publications

Post-traumatic radioulnar synostosis: a retrospective case series of 10 patients in Kuwait

Post-traumatic radioulnar synostosis: a retrospective case series of 10 patients in Kuwait

Post-Traumatic Radio-ulnar Synostosis Managed by the Excision of the Bone Bridge and Palmaris Longus Encircling Loop over the Ulna: A Case Report

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