"Wrap around" pedicled muscle flaps for the treatment of recurrent forearm synostosis

Techniques in Hand & Upper Extremity Surgery
Diego L Fernandez, Elizabeth Joneschild

Abstract

Three proximal and 2 mid shaft recurrent radioulnar synostoses were managed with a "wrap around" vascularized muscle interposition after excision of the heterotopic bone. A proximally pedicled brachioradialis flap was used for the proximal forearm and elbow synostoses, and the flexor carpi ulnaris muscle was used for the midshaft area. Anatomy of the flaps and the technical details of each procedure are thoroughly described. After a mean follow-up period of 8 years (range 3-14 years), there were no recurrences. The functional outcome regarding forearm rotation, elbow motion, and working capacity was highly satisfactory in all 5 patients.

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Citations

Sep 28, 2013·Revista española de cirugía ortopédica y traumatología·F Martínez-MartínezS Illan-Franco
Jun 6, 2007·Hand Clinics·Douglas P HanelAndré Ayalla
Oct 16, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Verónica Jiménez-DíazPedro Caba-Doussoux
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Aug 16, 2017·Case Reports in Orthopedics·Alessia PagnottaIakov Molayem
Aug 21, 2018·Hand : Official Journal of the American Association for Hand Surgery·Kai YangHani Matloub

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