Ogino T, Hikino K
J Hand Surg Br. 1987 Jun;12(2):173-8. doi: 10.1016/0266-7681_87_90006-4.
In order to make clear the clinical features of congenital radio-ulnar synostosis, compensatory rotation around the wrist and functional results after rotation osteotomy, 40 cases of congenital radio-ulnar synostosis have been analysed. The mean pronation of the ankylosed forearm in those who complained of disabilities in daily life was 60.7 degrees and that in patients without complaints was 21.2 degrees. In almost all cases with total ankylosis, the forearm had compensatory movement around the wrist, the mean arc being from 76.3 degrees of pronation to 42.9 degrees of supination. 13 limbs in 11 patients treated by transverse rotational osteotomies through the fusion mass have followed up for over two years. The functional results after surgery were satisfactory in all patients. Rotational osteotomy of the forearm is a useful and reliable treatment for congenital radio-ulnar synostosis.
为明确先天性桡尺骨融合的临床特征、腕关节周围的代偿旋转情况以及旋转截骨术后的功能结果，对40例先天性桡尺骨融合患者进行了分析。日常生活中主诉功能障碍的患者，其融合前臂的平均旋前角度为60.7度，无主诉的患者为21.2度。在几乎所有完全融合的病例中，前臂在腕关节周围有代偿运动，平均活动范围从旋前76.3度到旋后42.9度。11例患者的13条肢体接受了经融合块的横向旋转截骨术，随访时间超过两年。所有患者术后功能结果均满意。前臂旋转截骨术是治疗先天性桡尺骨融合的一种有效且可靠的方法。
