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Bifocal osteosynthesis to treat radial shortening deformity with dislocation of the inferior radioulnar joint

BACKGROUND: Several methods have been reported to correct deformity and shortening of the distal radius. However, the results are not entirely satisfactory. The results of bifocal osteosynthesis were retrospectively analyzed in this study. METHODS: Eight patients treated with bifocal osteosynthesis...

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Autores principales: Guan, Junjie, Ruan, Hongjiang, Yin, Jimin, Chai, Yimin, Kang, Qinglin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6787987/
https://www.ncbi.nlm.nih.gov/pubmed/31601273
http://dx.doi.org/10.1186/s12891-019-2816-5
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author Guan, Junjie
Ruan, Hongjiang
Yin, Jimin
Chai, Yimin
Kang, Qinglin
author_facet Guan, Junjie
Ruan, Hongjiang
Yin, Jimin
Chai, Yimin
Kang, Qinglin
author_sort Guan, Junjie
collection PubMed
description BACKGROUND: Several methods have been reported to correct deformity and shortening of the distal radius. However, the results are not entirely satisfactory. The results of bifocal osteosynthesis were retrospectively analyzed in this study. METHODS: Eight patients treated with bifocal osteosynthesis were evaluated retrospectively. Pre-operative and post-operative clinical and radiographic examinations were performed. Subjective symptoms and objective joint function were assessed. Radiographic data of the extent of radial lengthening and distal radial articular angle were collected. RESULTS: The mean follow-up period was 46 months (37–68 months). Satisfactory wrist appearance and radial lengthening was achieved in all patients. All patients were satisfied with the wrist appearance and willing to undergo the same treatment again. The range of motion (ROM) of the forearm and wrist was significantly improved. Pin-track infections occurred in two patients, for which they received wound care and oral antibiotics. Complications such as fixation device failure, tendon rupture, fracture of regenerated bone or nerve impairment did not occur. The duration of lengthening depended on the shortening of the radius. Delayed union in the docking site was observed in two patients and union was achieved after bone grafting. CONCLUSIONS: Bifocal osteosynthesis using the Ilizarov method provides a useful method for correction of radial shortening deformity with dislocation of the inferior radioulnar joint. Despite the fact that we did not validate pre-and post-operation functional outcome scores, all patients were satisfied with the wrist appearance and function.
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spelling pubmed-67879872019-10-18 Bifocal osteosynthesis to treat radial shortening deformity with dislocation of the inferior radioulnar joint Guan, Junjie Ruan, Hongjiang Yin, Jimin Chai, Yimin Kang, Qinglin BMC Musculoskelet Disord Research Article BACKGROUND: Several methods have been reported to correct deformity and shortening of the distal radius. However, the results are not entirely satisfactory. The results of bifocal osteosynthesis were retrospectively analyzed in this study. METHODS: Eight patients treated with bifocal osteosynthesis were evaluated retrospectively. Pre-operative and post-operative clinical and radiographic examinations were performed. Subjective symptoms and objective joint function were assessed. Radiographic data of the extent of radial lengthening and distal radial articular angle were collected. RESULTS: The mean follow-up period was 46 months (37–68 months). Satisfactory wrist appearance and radial lengthening was achieved in all patients. All patients were satisfied with the wrist appearance and willing to undergo the same treatment again. The range of motion (ROM) of the forearm and wrist was significantly improved. Pin-track infections occurred in two patients, for which they received wound care and oral antibiotics. Complications such as fixation device failure, tendon rupture, fracture of regenerated bone or nerve impairment did not occur. The duration of lengthening depended on the shortening of the radius. Delayed union in the docking site was observed in two patients and union was achieved after bone grafting. CONCLUSIONS: Bifocal osteosynthesis using the Ilizarov method provides a useful method for correction of radial shortening deformity with dislocation of the inferior radioulnar joint. Despite the fact that we did not validate pre-and post-operation functional outcome scores, all patients were satisfied with the wrist appearance and function. BioMed Central 2019-10-10 /pmc/articles/PMC6787987/ /pubmed/31601273 http://dx.doi.org/10.1186/s12891-019-2816-5 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Guan, Junjie
Ruan, Hongjiang
Yin, Jimin
Chai, Yimin
Kang, Qinglin
Bifocal osteosynthesis to treat radial shortening deformity with dislocation of the inferior radioulnar joint
title Bifocal osteosynthesis to treat radial shortening deformity with dislocation of the inferior radioulnar joint
title_full Bifocal osteosynthesis to treat radial shortening deformity with dislocation of the inferior radioulnar joint
title_fullStr Bifocal osteosynthesis to treat radial shortening deformity with dislocation of the inferior radioulnar joint
title_full_unstemmed Bifocal osteosynthesis to treat radial shortening deformity with dislocation of the inferior radioulnar joint
title_short Bifocal osteosynthesis to treat radial shortening deformity with dislocation of the inferior radioulnar joint
title_sort bifocal osteosynthesis to treat radial shortening deformity with dislocation of the inferior radioulnar joint
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6787987/
https://www.ncbi.nlm.nih.gov/pubmed/31601273
http://dx.doi.org/10.1186/s12891-019-2816-5
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