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

BMC Musculoskeletal Disorders Oct 19, 2019

Guan J, et al. - Eight individuals who were treated with bifocal osteosynthesis were retrospectively assessed in order to analyze the results of bifocal osteosynthesis used to treat distal radial deformity and shortening. In all individuals, satisfactory wrist appearance and radial lengthening was attained. All individuals were contented with the appearance of the wrist and hence, were willing to undergo the same treatment again. The range of motion (ROM) of the forearm and wrist was significantly got better. In two individuals, pin-track infections occurred, for which they got wound care and oral antibiotics. Complications like fixation device failure, tendon rupture, fracture of regenerated bone or nerve impairment did not transpire. The term of lengthening was reliant on the shortening of the radius. In two individuals, postponed union in the docking site was noted and union was attained following bone grafting. In conclusion, for correcting radial shortening deformity with dislocation of the inferior radioulnar joint, bifocal osteosynthesis using the Ilizarov method gave a beneficial procedure. Irrespective of the fact that pre- and postoperation functional outcome scores were not confirmed, all individuals were contented with the appearance of the wrist and function.
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