Double ulnar osteomy for the treatment of congenital radial head dislocation
Objective: 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). Methods: A total 14 children (14 elbows; 71.42% male; mean age: 9.31 ± 3.06 years) with CRHD who underwent double osteotomy of...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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AVES
2019-11-01
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| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X19303852 |
| _version_ | 1797910434867576832 |
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| author | Qiang Jie Xiaoju Liang Xiaowei Wang Yongtao Wu Ge Wu Bing Wang |
| author_facet | Qiang Jie Xiaoju Liang Xiaowei Wang Yongtao Wu Ge Wu Bing Wang |
| author_sort | Qiang Jie |
| collection | DOAJ |
| description | Objective: 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). Methods: 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). Results: 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. Conclusion: 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 of Evidence: Level IV, Therapeutic Study. Keywords: Double ulnar osteotomy, Carrying angle, Congenital radial head dislocation, Mayo elbow performance score, Motion of elbow |
| first_indexed | 2024-04-10T11:24:17Z |
| format | Article |
| id | doaj.art-3c623955f6344ef8ac357bdaecd8a7e6 |
| institution | Directory Open Access Journal |
| issn | 1017-995X |
| language | English |
| last_indexed | 2024-04-10T11:24:17Z |
| publishDate | 2019-11-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj.art-3c623955f6344ef8ac357bdaecd8a7e62023-02-15T16:18:29ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2019-11-01536442447Double ulnar osteomy for the treatment of congenital radial head dislocationQiang Jie0Xiaoju Liang1Xiaowei Wang2Yongtao Wu3Ge Wu4Bing Wang5Department of Pediatric Orthopedics, Honghui Hospital, Xi'an Jiaotong University Xi'an, Shaanxi, ChinaDepartment of Pediatric Orthopedics, Honghui Hospital, Xi'an Jiaotong University Xi'an, Shaanxi, ChinaDepartment of Pediatric Orthopedics, Honghui Hospital, Xi'an Jiaotong University Xi'an, Shaanxi, ChinaDepartment of Pediatric Orthopedics, Honghui Hospital, Xi'an Jiaotong University Xi'an, Shaanxi, ChinaDepartment of Pediatric Orthopedics, Honghui Hospital, Xi'an Jiaotong University Xi'an, Shaanxi, ChinaCorresponding author. Department of pediatric orthopedics, Honghui Hospital, Xi'an Jiaotong University, No. 555 Youyi East Road, Xi'an, Shaanxi, 710054, China. Tel.: +86 029 87800002; fax: +86 029 87894724.; Department of Pediatric Orthopedics, Honghui Hospital, Xi'an Jiaotong University Xi'an, Shaanxi, ChinaObjective: 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). Methods: 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). Results: 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. Conclusion: 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 of Evidence: Level IV, Therapeutic Study. Keywords: Double ulnar osteotomy, Carrying angle, Congenital radial head dislocation, Mayo elbow performance score, Motion of elbowhttp://www.sciencedirect.com/science/article/pii/S1017995X19303852 |
| spellingShingle | Qiang Jie Xiaoju Liang Xiaowei Wang Yongtao Wu Ge Wu Bing Wang Double ulnar osteomy for the treatment of congenital radial head dislocation Acta Orthopaedica et Traumatologica Turcica |
| title | Double ulnar osteomy for the treatment of congenital radial head dislocation |
| title_full | Double ulnar osteomy for the treatment of congenital radial head dislocation |
| title_fullStr | Double ulnar osteomy for the treatment of congenital radial head dislocation |
| title_full_unstemmed | Double ulnar osteomy for the treatment of congenital radial head dislocation |
| title_short | Double ulnar osteomy for the treatment of congenital radial head dislocation |
| title_sort | double ulnar osteomy for the treatment of congenital radial head dislocation |
| url | http://www.sciencedirect.com/science/article/pii/S1017995X19303852 |
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