Long-term review of the surgical treatment of radial deficiencies |
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| Authors: | L G Bayne M S Klug |
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| Affiliation: | 1. Orthopedic Surgery, Emory University, School of Medicine, and the Director Hand Clinic, Scottish Rite, Children''s Hospital, Atlanta Ga.;2. Hand and Microvascular Surgery, Wright State University School of Medicine, Dayton, Ohio;1. Plastic Surgery Department, The Royal Free Hospital, London;2. St Mary''s Hospital, Imperial College NHS Trust, London;3. Specialist Surgery Psychology Team, Psychological Medicine Centre, John Radcliffe Hospital, Oxford;1. Department of Orthopaedic Surgery, Boston Children’s Hospital, Boston, MA;2. Resurgens Orthopaedics, Atlanta, GA;3. Department of Orthopaedic Surgery, Shriners Hospital for Children–Northern California, Sacramento, CA;1. Mayo Clinic, Rochester, MN;2. Shriners Hospital for Children Twin Cities, Minneapolis, MN;3. University of Minnesota, Minneapolis, MN;1. Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD;2. Department of Hand and Microsurgery, Tampere University Hospital, Tampere, Finland;1. All India Institute of Medical Sciences Raipur, India;2. NHS UK;3. Jawaharlal institute of postgraduate medical education and research Pondicherry, India |
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| Abstract: | Sixty-four patients with 101 radial deficiencies form the basis of this review of anatomy, treatment, and long-term follow-up. Average follow-up was 8.6 years, with a range of 1 to 27 years. A radiologic classification of radial deficiencies is presented. The preferred method of treatment is centralization. The goal is to create a centralized, cosmetically and functionally improved hand, yet maintain wrist motion. There were 21 good, 20 satisfactory, and 10 unsatisfactory results. Good and satisfactory results all had adequate preoperative stretching, proper surgical technique, and postoperative brace compliance. Failure to adhere to outlined principles of soft tissue release and adequate centralization resulted in the unsatisfactory results. |
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