Rotational osteotomies for congenital radioulnar synostosis.
In five children, six forearms with a fixed pronation deformity secondary to congenital radioulnar synostosis were treated by a derotation osteotomy of the distal radius and the midshaft of the ulna. There were three boys and two girls with a mean age of 4.9 years (3.5 to 8.25) who were followed up for a mean of 29 months (18 to 43). The position of the forearm was improved from a mean pronation deformity of 68 degrees (40 degrees to 80 degrees ) to a pre-planned position of 10 degrees of supination in all cases. Bony union was achieved by 6.3 weeks with no loss of correction. There was one major complication involving a distal radial osteotomy which required exploration for a possible compartment syndrome.
Ramachandran
M
M
Orthopaedic Department, Great Ormond Street, Hospital for Children, London, WC1N 3JH, UK. manoj@krigroup.com
Lau
K
K
Jones
D H A
DH
D002648:Child; D002675:Child, Preschool; D003161:Compartment Syndromes / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods*; D011403:Pronation; D011859:Radiography; D011884:Radius / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D012399:Rotation; D013580:Synostosis / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014457:Ulna / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery