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One-stage rotational osteotomy for congenital radioulnar synostosis

Authors
 J H Hwang  ;  H W Kim  ;  D H Lee  ;  J H Chung  ;  H Park 
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.
Full Text
http://jhs.sagepub.com/content/40/8/855
DOI
10.1177/1753193415580066
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyun Woo(김현우) ORCID logo https://orcid.org/0000-0001-8576-1877
Park, Hoon(박훈) ORCID logo https://orcid.org/0000-0002-8063-3742
Lee, Dong Hoon(이동훈)
Hwang, Jin Ho(황진호)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141206
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