DrujThe Use of Tensor Fascia Lata Interposition Grafts for the Treatment of Posttraumatic Radioulnar Synostosis
Section snippets
Materials and Methods
All aspects of this study were approved by the institutional review board at our institution and informed consent was obtained from each patient involved in the study.
Patients who had been treated for complete radioulnar synostosis were identified through a review of the surgical database of all patients who had surgery performed by the senior author (D.P.H.) from 1999 to 2004. Incomplete synostoses were excluded from this study. Thirteen patients with complete synostosis were identified. The
Results
The patients had synostosis excision and interposition an average of 20 months (range, 5–132 mo) after the original injury. The patients currently have been followed up for an average of 30 months (range, 14–54 mo) after this surgery.
The only postoperative complication was 1 limited postoperative wound dehiscence with a small amount of exposed olecranon. One month after this patient’s synostosis takedown she returned for a wound debridement and revision of the closure. After this the wound
Discussion
Before the published series by Failla et al5 and Vince and Miller23 the surgical treatment of radioulnar synostosis was based largely on case reports2, 6, 8, 9, 17, 28, 29, 30, 31, 32, 33, 34, 35 involving 1 to 3 patients per series. These reports helped to substantiate a pessimistic approach toward this entity but were based on little agreement on therapeutic approach. Each held in common a hesitant agreement about the necessity of surgical resection of the bony synostosis. The aggregate,
References (40)
- et al.
Treatment of traumatic radioulnar synostosis by excision and postoperative low-dose irradiation
J Hand Surg
(1994) - et al.
Treatment of traumatic radioulnar synostosis by excision, with interposition of a posterior interosseous island forearm flap
J Hand Surg
(1996) - et al.
Treatment of posttraumatic radioulnar synostosis with excision and low-dose radiation
J Hand Surg
(1993) - et al.
Single-dose radiation therapy for prevention of heterotopic ossification after total hip arthroplasty
J Arthroplasty
(1990) - et al.
Randomized trial comparing single dose versus fractionated irradiation for prevention of heterotopic bonea preliminary report
Int J Radiat Oncol Biol Phys
(1990) - et al.
Radioulnar synostosis
Hand Clin
(1994) - et al.
Management of radioulnar synostosis with mobilization, anconeus interposition, and a forearm rotation assist splint
J Shoulder Elbow Surg
(1999) - et al.
Early excision of heterotopic bone in the forearm
J Hand Surg
(2000) - et al.
Radioulnar synostosis after the two-incision biceps repaira standardized treatment protocol
J Shoulder Elbow Surg
(2004) - et al.
Proximal radial resection for posttraumatic radioulnar synostosisa new technique to improve forearm rotation
J Bone Joint Surg
(2002)
Complications of plate fixation of forearm fractures
Clin Orthop
Operative treatment of post-traumatic proximal radioulnar synostosis
J Bone Joint Surg
Post-traumatic proximal radio-ulnar synostosis. Results of surgical treatment
J Bone Joint Surg
Post-traumatic radioulnar synostosis. A report of two cases
Clin Orthop
Proximal radioulnar synostosis treated with a free vascularised fascio-fat graft—report of two cases
Hand Surg
Post-traumatic radio-ulnar synostosis
J Bone Joint Surg
The use of Silastic sheet in hand surgery
Scand J Plast Reconstr Surg
Proximal radio-ulnar synostosis treated by interpositional silicone arthroplasty. A case report
Int Orthop
Siliconized Dacron interposition for traumatic radio-ulnar synostosis. Case report
Journal Med Assoc State Ala
Fascial arthroplasty for elbow ankylosis
Int Surg
Cited by (25)
Radiocarpal arthrodesis revision with a pyrocarbon implant
2023, Hand Surgery and RehabilitationPost-traumatic radioulnar synostosis: a retrospective case series of 10 patients in Kuwait
2022, Journal of Shoulder and Elbow SurgeryCitation Excerpt :We performed a retrospective evaluation of a total of 10 patients with a diagnosis of post-traumatic HO of the elbow in Kuwait’s only tertiary orthopedic center, Al-Razi Hospital. The following data were recorded: patient demographic characteristics, presence of HO risk factors (ie, head injury), fracture type (ie, open vs. closed), mechanism of injury, neurologic examination findings, time from injury to intervention, need for secondary surgery (if applicable), location of HO according to the Viola and Hastings classification system,8 treatment modalities used, complications, and follow-up (Table I). The Mayo score was recorded preoperatively and postoperatively for each patient.
Post-traumatic proximal radioulnar synostosis: results of surgical treatment and review of the literature
2020, Journal of Shoulder and Elbow SurgeryCitation Excerpt :This finding is consistent with reports in the recent literature. Another topic regarding the surgical treatment of PPRUS that continues to be a matter of debate is whether autologous, heterologous, or synthetic material needs to be interposed to reduce the risk of a synostosis recurrence.2,5,7,10,18,20,23 In our series, interpositional material was used in only 2 patients in whom the anconeus muscle was interposed after they had undergone diaphyseal resection of the radius.
Circumferential Adipofascial Graft for Prevention of Recurrence of Posttraumatic Radioulnar Synostosis
2017, Journal of Hand SurgeryMinimal resection interposition arthroplasty of the first metatarsophalangeal joint
2017, FootCitation Excerpt :The authors introduced the use of fascia lata as a technically simple, easily reproducible and relatively inexpensive interposition procedure [25]. The choice of the specific material was based on previous experience in other anatomic regions, including the elbow, knee, proximal tibiofibular, and radiolunate joints [28–31]. Fascia lata performed satisfactorily in our patient group in a midterm followup.
Treatment of proximal radioulnar synostosis using a posterior interosseous antegrade flow pedicled flap
2014, Revista Espanola de Cirugia Ortopedica y Traumatologia
No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.