Radioulnar synostosis can cause substantial loss of function, and surgical treatment
can be challenging. Recurrence of the contracture related to scar or reformation of
the synostosis is problematic. Several techniques have been described for prevention
of recurrence. We present a technique utilizing a free wrap around adipofascial graft
for interposition and circumferential coverage of the ulna after resection of the
heterotopic bone. We believe this technique has the advantages of technical simplicity,
secure interposition, and reliable outcomes.
Key words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Hand SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Outcomes of anconeus interposition for proximal radioulnar synostosis.J Shoulder Elbow Surg. 2014; 23: 1882-1887
- The use of tensor fascia lata interposition grafts for the treatment of posttraumatic radioulnar synostosis.J Hand Surg Am. 2006; 31: 785-793
- Operative treatment of post-traumatic proximal radioulnar synostosis.J Bone Joint Surg Am. 1998; 80: 248-257
- Surgical treatment of posttraumatic radioulnar synostosis.Case Rep Orthop. 2016; 2016: 5956304
- Preventing recurrence of radioulnar synostosis with pedicled adipofascial flaps.J Hand Surg Br. 2012; 37: 244-250
- The anconeus muscle flap: its anatomy and clinical application.J Hand Surg Am. 1999; 24: 359-369
- Cross-union complicating fracture of the forearm. Part I: adults.J Bone Joint Surg Am. 1987; 69: 640-653
Article info
Publication history
Published online: October 26, 2017
Accepted:
September 17,
2017
Received:
February 1,
2017
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
Copyright
© 2017 by the American Society for Surgery of the Hand. All rights reserved.