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One-stage rotational osteotomy for congenital radioulnar synostosis

Authors
 J H Hwang ; H W Kim ; H Park ; J H Chung ; D H Lee 
Citation
 Journal of Hand Surgery - European Volume, Vol.40(8) : 855~861, 2015 
Journal Title
 Journal of Hand Surgery - European Volume 
ISSN
 1753-1934 
Issue Date
2015
Abstract
We report the results of a one-stage rotational osteotomy of the proximal third of the ulna and distal third of the radius with segmental bone resection for treating congenital radioulnar synostosis. We retrospectively reviewed 25 patients (28 forearms) treated by operation. Patients were divided into two groups according to the method of internal fixation at the osteotomy sites. In Group 1 the ulnar osteotomy was stabilized with an intramedullary pin and in Group 2 no fixation was used. The average forearm position improved from 47° pronation before surgery, to 27° supination after surgery. There were no statistically significant differences between the two groups in surgical outcomes. One-stage rotational osteotomy of the proximal third of the ulna and distal third of the radius with segmental bone resection is a simple and safe treatment for patients with congenital radioulnar synostosis. Internal fixation at the osteotomy site seems to be unnecessary. Level of evidence: Level 4.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/141206
DOI
10.1177/1753193415580066
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Orthopedic Surgery
Yonsei Authors
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Link
 http://jhs.sagepub.com/content/40/8/855
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