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Complex forearm deformities: operative strategy in posttraumatic pathology.

Konrad Mader1,2, Marianne Koolen3, Mark Flipsen3

  • 1Orthopædic Department, Section Upper Extremity, Asklepios Hamburg Altona, Paul-Ehrlich-Straße 1, 22763 Hamburg, Germany.

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|September 5, 2017
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Summary

This review covers complex forearm deformities, discussing anatomy, assessment, and surgical correction techniques like osteotomy and callotasis. It analyzes outcomes and modern computer-assisted methods for improved upper extremity function.

Keywords:
Computerized planningCorrective osteotomyExternal fixationPosttraumatic deformity forearm

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Reconstructive Surgery

Background:

  • Complex posttraumatic forearm deformities significantly impair upper extremity function.
  • These deformities cause pain, radioulnar joint instability, and limited motion.
  • Surgical correction of malunited fractures and deformities presents significant challenges.

Purpose of the Study:

  • To provide a comprehensive review of managing complex posttraumatic forearm deformities.
  • To discuss anatomical considerations, pathomechanics, and assessment strategies.
  • To analyze surgical techniques, including one-stage correction, callotasis, and computer-assisted methods, and their outcomes.

Main Methods:

  • Review of relevant literature on forearm deformity correction.
  • Discussion of anatomical and biomechanical principles.
  • Analysis of clinical and radiological assessment techniques.
  • Evaluation of surgical strategies: osteotomy, gradual lengthening (callotasis), and computer-assisted surgery.
  • Review of functional outcomes and modern technological advancements.

Main Results:

  • Forearm deformities require careful anatomical and biomechanical understanding for effective management.
  • Preoperative planning is crucial for successful surgical correction.
  • Both one-stage osteotomy and gradual lengthening techniques (callotasis) are viable options.
  • Computer-assisted techniques offer potential advancements in precision and outcomes.

Conclusions:

  • Effective management of complex posttraumatic forearm deformities necessitates a thorough understanding of anatomy, biomechanics, and patient-specific assessment.
  • A range of surgical techniques, from osteotomy to distraction osteogenesis and computer-assisted methods, can restore function.
  • Careful preoperative planning and selection of the appropriate surgical approach are key to achieving optimal functional outcomes.