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Acute forearm lengthenings

P M Waters1, A E Van Heest, J Emans

  • 1Boston Children's Hospital, Massachusetts, USA.

Journal of Pediatric Orthopedics
|July 1, 1997
PubMed
Summary
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Acute pediatric forearm lengthening successfully corrects length discrepancies and improves wrist function. This surgical technique achieves near-neutral ulnar variance in children with various bone conditions.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Limb Reconstruction

Background:

  • Forearm-length discrepancies in children can lead to functional limitations and deformities.
  • Symptomatic presentations include limited forearm rotation, pain, and radial-head subluxation.
  • Existing conditions include osteochondromatosis, growth arrest, and skeletal dysplasia.

Purpose of the Study:

  • To describe a surgical technique for acute pediatric forearm lengthening and joint leveling.
  • To evaluate the clinical and radiographic outcomes of this procedure.
  • To assess the effectiveness in correcting forearm-length discrepancies and achieving ulnar variance.

Main Methods:

  • Retrospective analysis of 24 acute forearm lengthenings (>1.0 cm) performed between 1983 and 1993.

Related Experiment Videos

  • Review of clinical and radiographic data with an average 3-year follow-up.
  • Focus on surgical technique for lengthening and wrist-joint leveling.

    • Main Results:

    • Average lengthening was 1.5 cm (9% of total length).
    • Near-neutral ulnar variance was achieved in all cases.
    • Successful correction of forearm-length discrepancies in children with osteochondromas, growth arrests, or bone dysplasias.

    Conclusions:

    • Acute pediatric forearm lengthening is a successful surgical option for length discrepancies.
    • The technique effectively achieves near-neutral ulnar variance, improving wrist joint alignment.
    • This approach addresses deformities and functional limitations caused by various pediatric bone conditions.