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Pronating radius osteotomy for supination deformity in children with obstetric brachial plexus palsy

E Oscar van Kooten1, M Asad Ishaque, Hay A H Winters

  • 1Department of Plastic, Reconstructive, and Hand Surgery Vrije University Medical Center Amsterdam, The Netherlands. e.vankooten@vumc.nl

Techniques in Hand & Upper Extremity Surgery
|April 5, 2008
PubMed

Insights

Pronating radius osteotomy effectively treated wrist supination deformities in children with obstetric brachial plexus lesions, improving both function and appearance.

Area of Science:

  • Pediatric Orthopedics
  • Neuromuscular Disorders
  • Surgical Reconstruction

Background:

  • Obstetric brachial plexus lesions can cause muscle imbalance, leading to wrist supination deformities.
  • This imbalance affects both the cosmetic appearance and functional use of the hand.

Purpose of the Study:

  • To evaluate the efficacy of pronating radius osteotomy in correcting supination deformities.
  • To assess functional and aesthetic outcomes in children with obstetric brachial plexus lesions.

Main Methods:

  • Retrospective study of 8 pediatric patients with obstetric brachial plexus lesions.
  • Patients underwent pronating radius osteotomy between 1998 and 2006.
  • Mean follow-up duration was 23 months.

Main Results:

  • All 8 patients demonstrated significant functional improvement.
  • All patients experienced aesthetic enhancement of the affected hand.
  • Mean patient age was 9.4 years (range 4-13 years).

Conclusions:

  • Pronating radius osteotomy is a successful surgical intervention for supination deformities in this population.
  • The procedure yields positive functional and aesthetic results.
Abstract

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