Re-dislocation after corrective osteotomy for chronic dislocation of the radial head in children

Taku Suzuki, A. Seki, T. Nakamura, H. Ikegami, S. Takayama, Masaya Nakamura, Morio Matsumoto, Kazuki Satou

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3 Citations (Scopus)

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 languageEnglish
Pages (from-to)1582-1587
Number of pages6
JournalBone and Joint Journal
Volume97B
Issue number11
DOIs
Publication statusPublished - 2015 Nov 1

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Osteotomy
Pronation
Supination
Elbow
Forearm
Retrospective Studies

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 journalArticle

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