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Updated: Aug 9, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Rotational osteotomies for congenital radioulnar synostosis
M Ramachandran1, K Lau, D H A Jones
1Orthopaedic Department, Great Ormond Street, Hospital for Children, London, WC1N 3JH, UK. manoj@krigroup.com
Abstract:
In five children, six forearms with a fixed pronation deformity secondary to congenital radioulnar synostosis were treated by a derotation osteotomy of the distal radius and the midshaft of the ulna. There were three boys and two girls with a mean age of 4.9 years (3.5 to 8.25) who were followed up for a mean of 29 months (18 to 43). The position of the forearm was improved from a mean pronation deformity of 68 degrees (40 degrees to 80 degrees ) to a pre-planned position of 10 degrees of supination in all cases. Bony union was achieved by 6.3 weeks with no loss of correction. There was one major complication involving a distal radial osteotomy which required exploration for a possible compartment syndrome.
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