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Open reduction and corrective ulnar osteotomy for missed radial head dislocations in children.

Eygendaal D, Hillen RJ - Strategies Trauma Limb Reconstr (2007)

Bottom Line: The range of motion remained the same in 4 patients who had a full range of motion preoperatively.In 2/5 patients with loss of range of motion preoperatively, improvement was seen.There were no serious surgical complications beside one infection.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic Surgery, Amphia Hospital, Molengracht 21, 4818 CK, Breda, The Netherlands, deygendaal@amphia.nl.

ABSTRACT
The treatment of chronic radial head dislocation remains controversial. Open reduction of the radial head in combination with correction of malalignment with ulnar osteotomy can be the key to a good surgical result. Between 2001 and 2006, 9 (6 female, 3 male, average age 8.4 (5-11) years) patients were treated surgically for chronic radial head dislocation by one surgeon. The time between trauma and surgery was 7 (1.5-14) months. The procedure consisted of open reduction of the dislocated radial head and reconstruction of the annular ligament in combination with an ulnar osteotomy. An upper arm cast was applied with the forearm in neutral rotation for six weeks. Plates were removed in all patients. Clinical and radiological evaluation took place preoperatively and after an average of 23 (10-49) months. At radiograph 8/9 showed a reduced radial head; in one an anterior subluxation was seen. The range of motion remained the same in 4 patients who had a full range of motion preoperatively. In 2/5 patients with loss of range of motion preoperatively, improvement was seen. There were no serious surgical complications beside one infection. Open reduction and corrective ulnar osteotomy shows good results for missed radial head dislocations in children.

No MeSH data available.


Related in: MedlinePlus

Postoperative lateral radiograph, reduction of the radial head and fixation of the ulnar osteotomy with a Drittelrohr plate
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Fig2: Postoperative lateral radiograph, reduction of the radial head and fixation of the ulnar osteotomy with a Drittelrohr plate


Open reduction and corrective ulnar osteotomy for missed radial head dislocations in children.

Eygendaal D, Hillen RJ - Strategies Trauma Limb Reconstr (2007)

Postoperative lateral radiograph, reduction of the radial head and fixation of the ulnar osteotomy with a Drittelrohr plate
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2321721&req=5

Fig2: Postoperative lateral radiograph, reduction of the radial head and fixation of the ulnar osteotomy with a Drittelrohr plate
Bottom Line: The range of motion remained the same in 4 patients who had a full range of motion preoperatively.In 2/5 patients with loss of range of motion preoperatively, improvement was seen.There were no serious surgical complications beside one infection.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic Surgery, Amphia Hospital, Molengracht 21, 4818 CK, Breda, The Netherlands, deygendaal@amphia.nl.

ABSTRACT
The treatment of chronic radial head dislocation remains controversial. Open reduction of the radial head in combination with correction of malalignment with ulnar osteotomy can be the key to a good surgical result. Between 2001 and 2006, 9 (6 female, 3 male, average age 8.4 (5-11) years) patients were treated surgically for chronic radial head dislocation by one surgeon. The time between trauma and surgery was 7 (1.5-14) months. The procedure consisted of open reduction of the dislocated radial head and reconstruction of the annular ligament in combination with an ulnar osteotomy. An upper arm cast was applied with the forearm in neutral rotation for six weeks. Plates were removed in all patients. Clinical and radiological evaluation took place preoperatively and after an average of 23 (10-49) months. At radiograph 8/9 showed a reduced radial head; in one an anterior subluxation was seen. The range of motion remained the same in 4 patients who had a full range of motion preoperatively. In 2/5 patients with loss of range of motion preoperatively, improvement was seen. There were no serious surgical complications beside one infection. Open reduction and corrective ulnar osteotomy shows good results for missed radial head dislocations in children.

No MeSH data available.


Related in: MedlinePlus