Use the Orto-SUV frame in children with congenital radial clubhand: A clinical case

N. Avdeychik, E. A. Zakharyan, D. Grankin, A. V. Safonov
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Abstract

BACKGROUND: The shortening of the forearm in children with congenital radial clubhand and multi-plane deformity of the ulna is challenging to treat by surgery. The literature shows single studies using the Ortho-SUV frame for the correction of forearm deformity in multiple exostosis chondrodysplasia and patients with posttraumatic deformities. CLINICAL CASE: A 17-year-old patient with congenital radial clubhand who had a relapse of hand deviation undergo correction of forearm deformity. The elimination of radial hand deviation and ulnar deformity correction in the distal part with subsequent elongation were performed. DISCUSSION: No data on the use of the Ortho-SUV frame for the correction of ulnar multiplanar deformity in radial clubhand are available. Indicators, i.e., fixation index, osteosynthesis index, lengthening, and complications, were compared with the indicators used for ulnar elongation with a small angle of radial deviation of the hand. CONCLUSIONS: Personalized plan of forearm deformity correction based on the anatomical features of the congenital radial clubhand and X-ray indicators allowed achieving good cosmetic and functional results.
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应用Orto-SUV车架治疗儿童先天性桡骨畸形手1例
背景:先天性桡骨内翻型手和尺骨多平面畸形的儿童前臂缩短是手术治疗的挑战。文献显示单个研究使用Ortho-SUV框架矫正多发性外植软骨发育不良和创伤后畸形患者的前臂畸形。临床病例:一名17岁的先天性桡骨畸形手复发,接受前臂畸形矫治。消除手桡侧偏差,矫正远端尺侧畸形并进行后续延伸。讨论:目前尚无关于使用Ortho-SUV框架矫正桡骨内凸手尺侧多平面畸形的资料。将固定指数、骨整合指数、延长和并发症指标与手桡骨偏向小角度尺骨伸长率指标进行比较。结论:基于先天性桡骨clubhand的解剖特征和x线指标,个性化的前臂畸形矫正方案可以获得良好的美容和功能效果。
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来源期刊
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery Medicine-Pediatrics, Perinatology and Child Health
CiteScore
0.50
自引率
0.00%
发文量
38
期刊介绍: The target audience of the journal is researches, physicians, orthopedic trauma, burn, and pediatric surgeons, anesthesiologists, pediatricians, neurologists, oral surgeons, and all specialists in related fields of medicine.
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