Results of Single-staged Rotational Osteotomy in a Child With Congenital Proximal Radioulnar Synostosis

Abstract

Level IV--therapeutic.

Efficacy and feasibility of proximal radioulnar derotational osteotomy and internal fixation for the treatment of congenital radioulnar synostosis

“…In our series, all patients underwent derotational osteotomy at the synostosis site followed by the plate for rigid internal fixation in case of correction loss, and plaster splint was used for external immobilization, which enabled convenient close observation to monitor edema and peripheral circulation as well as ease of release. There were no increases in the incidence of complications by using plate fixation in our study compared with other fixation methods such as K-wires and/or casts reported by other authors [7, 9, 14, 22].…”

“…Currently, derotational osteotomy remains the most commonly performed procedure in patients with CRUS [3, 5–8], which alters the position of the forearm from hyperpronation to a more functional position to reduce supination limitations and to allow patients to more easily perform activities of daily life. There are many types of osteotomy and fixation methods, including derotational osteotomy at the synostosis site with K-wire fixation [9], one-stage or two-stage double-level derotational osteotomy of the ulna and the radius fixed with plaster casts [7, 10], one- stage double-level derotational osteotomy of the ulna and the radius with K-wire fixation [11, 14], and single osteotomy of the radial diaphysis fixed with plaster casts [8, 15]. The reported complications of the above methods include nerve palsy, compartment syndrome, loss of correction, residual angulation, delayed union, and nonunion.…”

What’s New in Limb Lengthening and Deformity Correction

“…Derotation osteotomy of the forearm was effective in correcting pronation deformities in young children with congenital radioulnar synostosis 51,52 . Although soft-tissue distraction facilitates centralization for congenital radial longitudinal deficiency, it does not prevent recurrence of deformity 53 .…”

Impotencia funcional para la supinación del antebrazo

“…El objetivo del tratamiento quirúrgico es conseguir que los antebrazos adquieran una posición más funcional para la vida del paciente. Se han publicado buenos resultados con la osteotomía desrotacional aislada del radio [7][8][9] ; la osteotomía a dos niveles (cúbito y radio) 10,11 ; y el uso complementario de fijadores externos 12 .…”