Detracting osteotomy for the treatment of proximal radiocubital congenital synostosis
Keywords:
cogenital radioulnar synostosis, desrotational osteotomyAbstract
Background: The Congenital Proximal Radioulnar Sinostosis is characterized by a lack of segmentation between the radio and ulna, which constitute a osseous bridge or fibrous union that borders the supination and pronation of the forearm. Objective: To describe the surgical technique of derotational osteotomy for the treatment of Congenital Proximal Radioulnar Sinostosis, as well as evaluate the observed results in patients. Materials and Methodology: from February 2013 to June 2015, an derotational osteotomy for the treatment of Congenital Proximal Radioulnar Sinostosis was applied on seven children, for a total of twelve forearms; five bilateral, and two right unilateral; with an age average of 5 years and 3 months. The average follow-up time was 1 year and four months. The results include the degree of fixation in pronation of the deformity, the range of pre and post surgical movement of supination and pronation. Results: We obtained nine foreams (75%) with excellent results, two (16.7%) with good results and one (8.3%) with regular results. A gain in the range of movement of supination, on average, of 50,8º, and a reduction in the range of movement of pronation, on average, of 85.8º. Conclusions: The derotational osteotomy is a surgical technique effective for the treatment of Congenital Proximal Radioulnar Sinostosis.
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