Paper Information

Journal:   MEDICAL JOURNAL OF THE ISLAMIC REPUBLIC OF IRAN (MJIRI)   2018 , Volume 32 , Number 1; Page(s) 0 To 0.
 
Paper: 

Recurrence rate of radial deviation following the centralization surgery of radial club hand

 
DOI: 

10.14196/mjiri.32.18

 
Author(s):  NAJD MAZHAR FARID, SHARIATZADEH HOOMAN, Balvardi Morteza, NAKHAEI AMROODI MORTEZA, MIRZAEI ALIREZA*
 
* Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
 
Abstract: 
Background: Congenital radial club hand (RCH), as a rare congenital deformity of the upper extremity, is characterized by a wide spectrum of malformations including radial deviation. Centralization surgery is the standard treatment for severe cases that have been associated with a high rate of recurrence. This study reports the long-term results and recurrence rate of radial deviation following the centralization surgery of RCH. Methods: The medical records of 13 congenital RCH patients (16 hands), who underwent centralization surgery, were reviewed retrospectively. Hand-forearm angle (HFA), hand-forearm position (HFP), and ulnar bow (UB) were used to assess forearm angles. Results: The mean age of the patients was 19. 4± 8. 9 months, and their mean follow-up was 62. 1± 39. 9 months. The mean HFA correction was 29. 4° ± 23. 9° , the mean HFA recurrence was 13. 3° ± 13. 7° , the mean correction of HFP was 13. 4± 7. 3 mm, and the mean recurrence of HFP was 1. 4± 2. 8 mm. The mean UB showed 7. 6° ± 12. 5° correction immediately after surgery and a further 3. 6° ± 7. 3° at the last follow-up (overall 11. 2° ± 17. 6° ). A number of 12 out of 13 parents were completely satisfied with the results. Conclusion: According to our results, an acceptable long-term result is expected after the centralization surgery of RCH. However, the risk of the recurrent radial deviation is high and needs to be optimized in future investigations.
 
Keyword(s): Radial club hand,Radial deviation,Centralization,Recurrence
 
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