Fujimoto Michiyo, Kato Hiroyuki, Minami Akio
Department of Orthopaedic Surgery, Fukui University School of Medicine, Matsuoka, Japan.
J Pediatr Orthop. 2005 Sep-Oct;25(5):676-9. doi: 10.1097/01.bpo.0000161833.57409.bb.
Four cases of congenital radioulnar synostosis in three patients were treated by rotational osteotomy of the distal radius. The diaphysis of the radius was osteotomized transversely, and then the forearm was supinated manually. Following surgery, the palm was immobilized in a fully supinated position by a long-arm cast. The average age at surgery was 4 years 5 months old (range 3 years 11 months to 4 years 11 months), and the average follow-up was 21 months (range 12-36 months). Bone union was obtained in all patients without any complications or correction loss. Functional improvements were achieved in all patients. This procedure is simple and safe in the treatment of congenital radioulnar synostosis.
对3例患者的4例先天性桡尺骨融合采用桡骨远端旋转截骨术进行治疗。桡骨干进行横向截骨，然后手动将前臂旋后。术后，用长臂石膏将手掌固定在完全旋后的位置。手术时的平均年龄为4岁5个月（范围为3岁11个月至4岁11个月），平均随访时间为21个月（范围为12 - 36个月）。所有患者均获得骨愈合，无任何并发症或矫正丢失。所有患者的功能均有改善。该手术治疗先天性桡尺骨融合简单且安全。
