Vázquez Rueda F, Ayala Montoro J, Blanco López F, Ocaña Losa J M
Servicio de Cirugía Pediátrica, Hospital Universitario Reina Sofía, Córdoba.
Cir Pediatr. 1993 Jul;6(3):145-7.
Congenital absence of the radius is a rare malformation, characterized by radial deviation of the hand to more than 90 degrees. Early treatment with plaster cast use to be enough to correct radial deviation, making easier surgical correction on several years later. We report a case of a newborn with radial club hand absence of the thumb of the right hand, bilateral hydronephrosis and bilateral cryptorchidism. Was treated with a new procedure, permitting wrist centralization, coupled with osteotomy and callostasis of the ulnar diaphysis using external fixation. We obtained an important success with this serial lengthening of the ulna.
先天性桡骨缺如是一种罕见的畸形，其特征为手部向桡侧偏斜超过90度。过去，早期使用石膏固定治疗足以纠正桡侧偏斜，使得数年后的手术矫正更为容易。我们报告一例新生儿，患有右手桡侧多指并缺如拇指、双侧肾积水和双侧隐睾。采用一种新的手术方法进行治疗，该方法包括腕关节中心化，同时使用外固定对尺骨干进行截骨和骨痂形成。通过这种尺骨的连续延长，我们取得了显著成功。
