Mistakes in the treatment of congenital radial clubhand in children

Abstract

There were 194 patients, aged 8 months-16 years, with congenital talipomanus radioflexa who had 254 deformity of upper extremity. Operative treatment was performed on 232 exptremities. Good results were achieved in 69%), satisfactory — in 22%o of cases. In 9%o of patients (21 upper extremities) partial or complete relapses of deformity requiring repeated surgical correction were detected. Failed outcomes were due to inadequate preoperative planning, technical and methodic mistakes. Analysis showed if those errors were avoided, the significant decrease of deformity relapses rate could be achieved.

Keywords

congenital radial club hand / corrective osteotomy / relapse prevention

References

[1] Кузнечихин Е.П., Кузин А.С. //Патология крупных суставов и другие актуальные вопросы детской травматологии и ортопедии. — СПб, 1998. — С. 99—100.

[2] Малахов О.А., Леванова И.В., Татаренков В.И. //Актуальные вопросы детской травматологии и ортопедии. — СПб, 2000. — С. 286-287.

[3] Пат. 2131224 РФ, 1999. /Шведовченко И.В., Прокопович В.С. Способ пластики дефектов костей предплечья.

[4] Фищенко В.А. Врожденная и приобретенная косорукость у детей и подростков: Автореф. дис.... канд. мед. наук. — Киев, 1985.

[5] Bayne L., Klug М. //J. Hand Surg. — 1987. — Vol. 12A, N 2. — P. 169-179.

[6] Blauth W., Sonnichsen S. //Orthopade. — 1986. — N 2. — S. 160-171.

[7] Buck-Gramcko D. //J. Hand Surg. — 1985. — Vol. 10A, N 6. — P. 964-968.

[8] Kessler J. //Ibid. — 1989. — Vol. 14B, N 1. — P. 37-42.

[9] Vilkki S. //Ibid. — 1998. — Vol. 23B, N 4. — P. 445-452.

[10] Watson H., Beebe R., Cruz N. //Ibid. — 1984. — Vol. 9A, N 4. — P. 541-547

RIGHTS & PERMISSIONS

Eco-Vector