Preventing recurrence of radioulnar synostosis with pedicled adipofascial flaps

Sonderegger, J., Gidwani, S. and Ross, M. (2012) Preventing recurrence of radioulnar synostosis with pedicled adipofascial flaps. Journal of Hand Surgery: European Volume, 37 3: 244-250. doi:10.1177/1753193411421094


Author Sonderegger, J.
Gidwani, S.
Ross, M.
Title Preventing recurrence of radioulnar synostosis with pedicled adipofascial flaps
Journal name Journal of Hand Surgery: European Volume   Check publisher's open access policy
ISSN 1753-1934
2043-6289
Publication date 2012-03
Year available 2011
Sub-type Article (original research)
DOI 10.1177/1753193411421094
Open Access Status Not yet assessed
Volume 37
Issue 3
Start page 244
End page 250
Total pages 7
Place of publication London, United Kingdom
Publisher Sage Publications
Language eng
Abstract The surgical treatment of post-traumatic radioulnar synostosis is difficult. Recurrence after resection alone is a concern with poor long-term maintenance of forearm rotation. We report on the use of pedicled adipofascial flaps to prevent recurrence and facilitate maintenance of movement in six adult patients with radioulnar synostosis. Five involved the proximal radioulnar joint and one the distal radioulnar joint. In four the flap was based on the radial artery and in two on the posterior interosseous artery. Mean intraoperative supination was 78° and pronation was 76°. Mean follow up was 32 months. At follow-up, mean supination was 71° and pronation was 70°. No patient had radiological recurrence of synostosis. The only complication was a transient posterior interosseous nerve palsy. Pedicled adipofascial flaps are a safe addition to resection alone which may prevent recurrence and maintain the range of forearm rotation achieved at operation.
Keyword Adipofascial flaps
Pedicled forearm flaps
Post-traumatic
Posterior interosseous artery
Radial artery
Radioulnar synostosis
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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