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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 10, 1406-1410.
doi: 10.1302/0301-620X.87B10.16445  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Rotational osteotomies for congenital radioulnar synostosis

M. Ramachandran, FRCS(Orth), Specialist Registrar1; K. Lau, PhD, Senior House Officer1; and D. H. A. Jones, FRCS, FRCS Ed(Orth), Consultant Paediatric Orthopaedic Surgeon1

1 Orthopaedic Department, Great Ormond Street, Hospital for Children, London, WC1N 3JH, UK.

Correspondence should be sent to Mr M. Ramachandran at 5A Wallace Road, Canonbury, Islington, London N1 2PG, UK; e-mail: manoj{at}krigroup.com

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° (40° to 80°) to a pre-planned position of 10° 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.




eLetters:

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Rotational osteotomies for congenital radioulnar synostosis - correspondence
Zoran S Vukasinovic, et al.
J Bone Joint Surg Br Online, 22 Mar 2006 [Full text]
Rotational osteotomies for congenital radioulnar synostosis - the level of osteotomy
Dusko Spasovski, MD
J Bone Joint Surg Br Online, 31 Mar 2006 [Full text]

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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General