Abstract
This retrospective study was designed to evaluate the outcomes of re-dislocation of the radial head after corrective osteotomy for chronic dislocation. A total of 12 children with a mean age of 11 years (5 to 16), with further dislocation of the radial head after corrective osteotomy of the forearm, were followed for a mean of five years (2 to 10). Re-operations were performed for radial head re-dislocation in six children, while the other six did not undergo re-operation ('non-re-operation group'). The active range of movement (ROM) of their elbows was evaluated before and after the first operation, and at the most recent follow-up. In the re-operation group, there were significant decreases in extension, pronation, and supination when comparing the ROM following the corrective osteotomy and following re-operation (p <0.05). The children who had not undergone re-operation achieved a better ROM than those who had undergone re-operation. There was a significant difference in mean pronation (76° vs 0°) between the nonreoperation and the re-operation group (p = 0.002), and a trend towards increases in mean flexion (133° vs 111°), extension (0° vs 23°), and supination (62° vs 29°). We did not find a clear benefit for re-operation in children with a re-dislocation following corrective osteotomy for chronic dislocation of the radial head.
| Original language | English |
|---|---|
| Pages (from-to) | 1582-1587 |
| Number of pages | 6 |
| Journal | Bone and Joint Journal |
| Volume | 97B |
| Issue number | 11 |
| DOIs | |
| Publication status | Published - 2015 Nov 1 |
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ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Surgery
- Medicine(all)
Cite this
Re-dislocation after corrective osteotomy for chronic dislocation of the radial head in children. / Suzuki, Taku; Seki, A.; Nakamura, T.; Ikegami, H.; Takayama, S.; Nakamura, Masaya; Matsumoto, Morio; Satou, Kazuki.
In: Bone and Joint Journal, Vol. 97B, No. 11, 01.11.2015, p. 1582-1587.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Re-dislocation after corrective osteotomy for chronic dislocation of the radial head in children
AU - Suzuki, Taku
AU - Seki, A.
AU - Nakamura, T.
AU - Ikegami, H.
AU - Takayama, S.
AU - Nakamura, Masaya
AU - Matsumoto, Morio
AU - Satou, Kazuki
PY - 2015/11/1
Y1 - 2015/11/1
N2 - This retrospective study was designed to evaluate the outcomes of re-dislocation of the radial head after corrective osteotomy for chronic dislocation. A total of 12 children with a mean age of 11 years (5 to 16), with further dislocation of the radial head after corrective osteotomy of the forearm, were followed for a mean of five years (2 to 10). Re-operations were performed for radial head re-dislocation in six children, while the other six did not undergo re-operation ('non-re-operation group'). The active range of movement (ROM) of their elbows was evaluated before and after the first operation, and at the most recent follow-up. In the re-operation group, there were significant decreases in extension, pronation, and supination when comparing the ROM following the corrective osteotomy and following re-operation (p <0.05). The children who had not undergone re-operation achieved a better ROM than those who had undergone re-operation. There was a significant difference in mean pronation (76° vs 0°) between the nonreoperation and the re-operation group (p = 0.002), and a trend towards increases in mean flexion (133° vs 111°), extension (0° vs 23°), and supination (62° vs 29°). We did not find a clear benefit for re-operation in children with a re-dislocation following corrective osteotomy for chronic dislocation of the radial head.
AB - This retrospective study was designed to evaluate the outcomes of re-dislocation of the radial head after corrective osteotomy for chronic dislocation. A total of 12 children with a mean age of 11 years (5 to 16), with further dislocation of the radial head after corrective osteotomy of the forearm, were followed for a mean of five years (2 to 10). Re-operations were performed for radial head re-dislocation in six children, while the other six did not undergo re-operation ('non-re-operation group'). The active range of movement (ROM) of their elbows was evaluated before and after the first operation, and at the most recent follow-up. In the re-operation group, there were significant decreases in extension, pronation, and supination when comparing the ROM following the corrective osteotomy and following re-operation (p <0.05). The children who had not undergone re-operation achieved a better ROM than those who had undergone re-operation. There was a significant difference in mean pronation (76° vs 0°) between the nonreoperation and the re-operation group (p = 0.002), and a trend towards increases in mean flexion (133° vs 111°), extension (0° vs 23°), and supination (62° vs 29°). We did not find a clear benefit for re-operation in children with a re-dislocation following corrective osteotomy for chronic dislocation of the radial head.
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U2 - 10.1302/0301-620X.97B11.36009
DO - 10.1302/0301-620X.97B11.36009
M3 - Article
VL - 97B
SP - 1582
EP - 1587
JO - Bone and Joint Journal
JF - Bone and Joint Journal
SN - 2049-4394
IS - 11
ER -