Mistakes in the treatment of congenital radial clubhand in children

Cover Page

Cite item

Full Text

Abstract

There were 194 patients, aged 8 months-16 years, with congenital talipomanus radioflexa who had 254 deformity of upper extremity. Operative treatment was performed on 232 exptremities. Good results were achieved in 69%), satisfactory — in 22%o of cases. In 9%o of patients (21 upper extremities) partial or complete relapses of deformity requiring repeated surgical correction were detected. Failed outcomes were due to inadequate preoperative planning, technical and methodic mistakes. Analysis showed if those errors were avoided, the significant decrease of deformity relapses rate could be achieved.

About the authors

V. S. Prokopovich

Research Children's Orthopedic Institute. G.I. Turnera

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Saint Petersburg

References

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Radiographs of the left upper limb of a patient 3. with congenital radial clubhand. a — before surgery (at the age of 1 year); b — after one-stage centration of the hand with fixation with Kirschner wires (at the age of 5 years); b — 2 years after surgery : there is a dislocation of the hand to the rear, which required repeated surgical intervention.

Download (760KB)
3. Fig. 2. Radiographs of the right upper limb of patient M. with congenital radial clubhand. a — before surgery (at the age of 4 years); b — after the operation of centering the hand using a two-stage technique (at the age of 6 years); c — 7 years after the operation: Due to the previously unresolved extensor contracture of the elbow joint, the deformity recurred despite the achieved displacement of the hand to the distal end of the ulna.

Download (613KB)

Copyright (c) 2022 Eco-Vector



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies