Double ulnar osteomy for the treatment of congenital radial head dislocation.
Carrying angle
Congenital radial head dislocation
Double ulnar osteotomy
Mayo elbow performance score
Motion of elbow
Journal
Acta orthopaedica et traumatologica turcica
ISSN: 2589-1294
Titre abrégé: Acta Orthop Traumatol Turc
Pays: Turkey
ID NLM: 9424806
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
25
12
2018
revised:
15
04
2019
accepted:
22
08
2019
pubmed:
22
9
2019
medline:
1
4
2020
entrez:
22
9
2019
Statut:
ppublish
Résumé
The aim of this study was to retrospectively evaluate the effects of our double osteotomy technique in the treatment of congenital radial head dislocation (CRHD). A total 14 children (14 elbows; 71.42% male; mean age: 9.31 ± 3.06 years) with CRHD who underwent double osteotomy of the proximal ulna between April 2010 and June 2015 were included in the study. The patients with CRHD were identified according to medical history, plain radiographs or magnetic resonance imagings. The outcomes were evaluated through comparison of the preoperative and postoperative motion range of elbow and Mayo Elbow Performance Score (MEPS). After a follow-up of 13-35 months (22.29 ± 5.80), compared with pre-operation, the flexion (132.14 ± 3.23° vs 123.21 ± 7.75°, P = 0.003), extension (8.21 ± 4.21° vs 1.07 ± 3.50°, P = 0.003), and pronation of elbow (83.21 ± 4.21° vs 80.36 ± 4.14°, P = 0.011) improved significantly in all patients. Furthermore, the carrying angle was recovered to the normal level (5-15°) in all of these patients (18.57 ± 5.69° vs 8.21 ± 2.49°, P = 0.001). MEPS score was significantly increased postoperatively (96.79 ± 2.49 vs. 90.71 ± 1.82, P = 0.000), with the good outcome in CRHD patients. The results of our study suggested that this double osteotomy on the proximal ulna might be an effective method for the treatment of CRHD. Level IV, Therapeutic Study.
Identifiants
pubmed: 31540774
pii: S1017-995X(19)30385-2
doi: 10.1016/j.aott.2019.08.010
pmc: PMC6938992
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
442-447Informations de copyright
Copyright © 2019 Turkish Association of Orthopaedics and Traumatology. Production and hosting by Elsevier B.V. All rights reserved.
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