Radioulnar derotational osteotomy and internal fixation of radius and ulna with plate and screws distal to fusion site for congenital radioulnar synostosis-A case series
Lingaraj, Anand S R, Jyothish K
The purpose of this study was to determine the functional outcome of radioulnarderotational osteotomy with internal fixation for the treatment of congenital radioulnar synostosis (CRUS). The forearm was derotated to the desired position (20 degrees of supination to 10 degrees of pronation) utilising plates for internal fixation and plaster splints for external immobilisation in the event of a congenital radioulnar synostosis. The pre- and postoperative locations of the forearm were recorded, and forearm function was assessed using Failla et al classification. 's system. The average follow-up period was 6 months to a year. The average adjustment was 50 to 90 degrees. As a result, the correction has been made from 20 degrees of supination to 10 degrees of pronation. At the final follow-up, the forearm was assessed as excellent using the Failla grading system. After 2 to 3 months, the patients' bones were healed. There were no complications discovered.Conclusions: Proximal radioulnar derotational osteotomy followed by plate fixation is a safe and complication-free operation. The approach can significantly enhance forearm function.
Lingaraj, Anand S R, Jyothish K. Radioulnar derotational osteotomy and internal fixation of radius and ulna with plate and screws distal to fusion site for congenital radioulnar synostosis-A case series. International Journal of Orthopaedics Research, Volume 4, Issue 1, 2022, Pages 10-14