Safety and Efficacy of Derotational Osteotomy for Congenital Radioulnar Synostosis

Journal of Pediatric Orthopedics
Xavier SimcockDonald S Bae

Abstract

Congenital radioulnar synostosis (CRUS) refers to an abnormal connection between the radius and ulna due to embryological failure of separation. Derotational osteotomy has been advocated for children with functional limitations, although historically this procedure has been associated with a 36% complication rate including compartment syndrome and loss of correction. A retrospective evaluation of consecutive patients who underwent derotational osteotomy for CRUS at a single institution was performed. Children with functional limitations secondary to excessive pronation were indicated for surgery with a goal of correction to 10 to 20 degrees of pronation. All patients were treated with a standardized surgical technique including careful subperiosteal elevation, rotational osteotomy at the level of the synostosis, control of the osteotomy fragments, appropriate pinning techniques, and prophylactic forearm fasciotomies. Electronic medical records, preoperative radiographs, and postoperative radiographs were reviewed. Derotational osteotomy was performed in 31 forearms in 26 children (13 bilateral, 13 unilateral) with a mean age of 6.8 years (range, 3.0 to 18.8 y). The mean clinical follow-up was 46 months (range, 6 to 148 mo). The...Continue Reading

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Citations

Sep 22, 2019·Acta orthopaedica et traumatologica turcica·Qiang JieBing Wang
Jul 14, 2020·Journal of Pediatric Orthopedics·Paula A PinoScott H Kozin
Jul 3, 2020·Radiology Case Reports·Iseko Kingsley IyokoJimmy Emem Henshaw
Apr 8, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Paul T Rutkowski, Julie Balch Samora
Dec 15, 2020·Journal of Pediatric Orthopedics. Part B·Sitanshu BarikGiovanni L Di Gennaro

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