Long-term review of the surgical treatment of radial deficiencies

Sixty-four patients with 101 radial deficiencies form the basis of this review of anatomy, treatment, and long-term follow-up. Average follow-up was 8.6 years, with a range of 1 to 27 years. A radiologic classification of radial deficiencies is presented. The preferred method of treatment is central...

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Bibliographic Details
Published inThe Journal of hand surgery (American ed.) Vol. 12; no. 2; p. 169
Main Authors Bayne, L G, Klug, M S
Format Journal Article
LanguageEnglish
Published United States 01.03.1987
Subjects
Adolescent
Child
Child, Preschool
Follow-Up Studies
Humans
Infant
Osteotomy
Radius - abnormalities
Radius - surgery
Time Factors
Ulna - surgery
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Summary:Sixty-four patients with 101 radial deficiencies form the basis of this review of anatomy, treatment, and long-term follow-up. Average follow-up was 8.6 years, with a range of 1 to 27 years. A radiologic classification of radial deficiencies is presented. The preferred method of treatment is centralization. The goal is to create a centralized, cosmetically and functionally improved hand, yet maintain wrist motion. There were 21 good, 20 satisfactory, and 10 unsatisfactory results. Good and satisfactory results all had adequate preoperative stretching, proper surgical technique, and postoperative brace compliance. Failure to adhere to outlined principles of soft tissue release and adequate centralization resulted in the unsatisfactory results.
ISSN:0363-5023
DOI:10.1016/S0363-5023(87)80267-8