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Proximal radio-ulnar synostosis treated by interpositional silicone arthroplasty. A case report
1Servico de Cirurgia Orthopéddica y Traumatologia, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
International Orthopaedics
|January 1, 1995
Summary
This case study details successful surgical treatment for post-traumatic proximal radio-ulnar synostosis in a young adult. A radial head silicone implant provided excellent long-term functional results after 10 years.
Area of Science:
- Orthopedic surgery
- Trauma reconstruction
- Biomaterials in medicine
Background:
- Post-traumatic proximal radio-ulnar synostosis is a rare complication following elbow trauma.
- It can lead to significant functional impairment and pain in the affected limb.
- Surgical intervention is often necessary to restore elbow function.
Observation:
- A young adult patient presented with symptoms of post-traumatic proximal radio-ulnar synostosis.
- The condition affected the elbow joint's range of motion and overall function.
- Conservative management had not yielded satisfactory results.
Findings:
- Surgical treatment involved excising 1 cm of the radius shaft below the synostosis.
- A silicone radial head implant was used for interposition to prevent re-fusion.
- The patient achieved excellent functional recovery and maintained it for 10 years post-surgery.
Implications:
- Silicone radial head implants are a viable option for treating post-traumatic proximal radio-ulnar synostosis.
- This surgical technique can restore significant elbow function in young adults.
- Long-term follow-up demonstrates the durability and effectiveness of this reconstructive approach.