[Surgical treatment of posttraumatic proximal radioulnar synostosis]

This paper is a case report of a successful treatment of posttraumatic proximal radioulnar sinostosis in 38 years old male patient, to which eight years ago is reimplanted to right forearm in its medial third with the free slice of m. latisimussa dorsi and ostheosynthesis. Reimplatation was performed due to the previous traumatic amputation, occurred by train wheel. Radioulnar sinostosis is performed proximal to the place of previous surgery, or ostheosynthesis of the both forearm bones with the half plates and cortical screws. Sinostosis is previously verified with RTG and than surgically treated. After successful surgery (completely preserved previously placed median slice and excidated sinostisis), and conducted physical rehabilitation the patient can make addition pronance for the angle of 25 degrees and additional supination of 15 degrees, which in total is leading to the increased range of movement by 40 degrees. In that manner the functioning of the hand and quality of life for the patients are much improved. What is necessary id the adequate follow up in order to avoid sinostosis relapse.