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Children's Orthopaedics

Rotational osteotomies for congenital radioulnar synostosis



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Abstract

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.


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

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