Open reduction and corrective ulnar osteotomy for missed radial head dislocations in children.

Strategies in Trauma and Limb Reconstruction
D Eygendaal, R J Hillen

Abstract

The treatment of chronic radial head dislocation remains controversial. Open reduction of the radial head in combination with correction of malalignment with ulnar osteotomy can be the key to a good surgical result. Between 2001 and 2006, 9 (6 female, 3 male, average age 8.4 (5-11) years) patients were treated surgically for chronic radial head dislocation by one surgeon. The time between trauma and surgery was 7 (1.5-14) months. The procedure consisted of open reduction of the dislocated radial head and reconstruction of the annular ligament in combination with an ulnar osteotomy. An upper arm cast was applied with the forearm in neutral rotation for six weeks. Plates were removed in all patients. Clinical and radiological evaluation took place preoperatively and after an average of 23 (10-49) months. At radiograph 8/9 showed a reduced radial head; in one an anterior subluxation was seen. The range of motion remained the same in 4 patients who had a full range of motion preoperatively. In 2/5 patients with loss of range of motion preoperatively, improvement was seen. There were no serious surgical complications beside one infection. Open reduction and corrective ulnar osteotomy shows good results for missed radial head disloca...Continue Reading

References

May 1, 1992·The Journal of Bone and Joint Surgery. British Volume·T M StollD C Paterson
Jun 1, 1992·Acta Orthopaedica Scandinavica·W S Chen
Nov 1, 1988·The Journal of Bone and Joint Surgery. British Volume·L FreedmanJ C Leong
Aug 1, 1987·The Journal of Bone and Joint Surgery. British Volume·T HirayamaA Mikita
Jul 1, 1993·The Journal of Bone and Joint Surgery. British Volume·F C Oner, A F Diepstraten
Feb 1, 1996·The Journal of Bone and Joint Surgery. American Volume·D RingD M Spencer
Sep 1, 1996·The Journal of Bone and Joint Surgery. American Volume·W B RodgersJ E Hall
Jul 11, 2002·The Journal of Bone and Joint Surgery. American Volume·Mark D LazarusFrederick A Matsen
Jul 11, 2002·The Journal of Bone and Joint Surgery. American Volume·Emiko HoriiE Nakao
Jan 18, 2006·Journal of Shoulder and Elbow Surgery·T C KoslowskyD Pennig

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Citations

Jan 12, 2013·Der Orthopäde·T KrausW Linhart
Feb 26, 2015·Journal of Pediatric Orthopedics. Part B·Tarun GoyalPankaj Kandwal
Mar 15, 2011·Journal of Orthopaedic Trauma·Frank AversanoDaniel W Green
Dec 17, 2019·Acta ortopedica brasileira·Jamil Faissal SoniFernando Ferraz Faria

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