A technique for using the Ilizarov fixator for primary centralization in radial clubhand.
Radial clubhand is a condition that is cosmetically unappealing and functionally challenging to the patient. Management of this condition aims to achieve a straighter alignment of the hand on the forearm while maintaining a stable wrist without compromise of growth at the distal ulnar epiphysis. We have been using a 2-stage procedure to manage type 3 and 4 radial clubhand since 1993. Centralization is initially obtained by using the Ilizarov fixator in a hinged-distraction mode. Once this is achieved, the correction is secured at a second stage by pinning the carpus to the ulna. We describe in detail the technique of constructing the Ilizarov frame for this purpose.
Shriners Hospital for Children-Lexington, Lexington, KY, USA.
Sunil M
SM
Thirkannad
Ronald C
RC
Burgess
D001458:Bandages; D001858:Bone Nails; D002648:Child; D006228:Hand Deformities, Congenital / Q000628:therapy*; D006801:Humans; D018889:Ilizarov Technique / Q000295:instrumentation*; D010027:Osteotomy; D014457:Ulna / Q000601:surgery; D014953:Wrist / Q000601:surgery