Improving the Accuracy of Corrective Osteotomy for Congenital Radio Ulnar Synostosis using the Axis of Rotation of the Forearm as a Guide
https://doi.org/10.5704/MOJ.2303.006
- Author:
Gandhi S
1
;
Dalei TR
2
;
Nema SK
1
;
Rathod A
1
;
Jagadevan M
3
Author Information
1. Department of Orthopaedics, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
2. Department of Orthopaedics, Veer Surendra Sai Institute of Medical Sciences and Research, Sambalpur, India
3. Department of Physical Medicine and Rehabilitation, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
- Publication Type:Journal Article
- Keywords:
congenital radioulnar synostosis, derotational osteotomy, operative technique
- From:Malaysian Orthopaedic Journal
2023;17(No.1):40-44
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Despite several techniques for corrective
osteotomy in congenital radioulnar synostosis (CRUS) the
published literature lacks a guide for radiographic planning
and rationale for the site and level of the osteotomy. The
primary objective of this study is to report a technique of
radiographically controlled corrective osteotomy using the
axis of rotation of the forearm in CRUS.
Materials and methods: Children with CRUS underwent
corrective osteotomy based on radiographic planning; the
extent of rotational correction and functional outcomes were
assessed at a mean of 27 months after the operation.
Results: Seven forearms in six children of an average of 6.25
years were assessed for correction and functional outcomes.
The average pre-operative pronation deformity was 71.5°.
The average correction achieved was 64°. At follow-up,
there were five excellent and two good functional outcomes.
All children could perform daily tasks besides eating with
hand and personal hygiene.
Conclusion: Radiographic determination of the osteotomy
sites by the method described is effective, consistent, and
reproducible in achieving optimal functional outcomes in
congenital radioulnar synostosis.
- Full text:16.2023my1293.pdf
