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Date Published: 25/04/2022
Abstract Views: 468
Views PDF: 200
DOI: https://doi.org/10.51298/vmj.v512i1.2227
Issue
Vol. 512 No. 1 (2022)
Section
Các bài báo
How to Cite
Dương Phi, N. ., Trọng Tường M. ., Ngọc Minh Khánh N. ., Hồ Thiên Phúc T., & Hoàng Vũ, T. . (2022). MANAGEMENT OF RADIAL DYSPLASIA WITH CASTING FOLLOWED BY CENTRALIZATION. Vietnam Medical Journal, 512(1). https://doi.org/10.51298/vmj.v512i1.2227

MANAGEMENT OF RADIAL DYSPLASIA WITH CASTING FOLLOWED BY CENTRALIZATION

Nguyễn Dương Phi1,, Mai Trọng Tường2, Nguyễn Ngọc Minh Khánh1, Trần Hồ Thiên Phúc1, Trịnh Hoàng Vũ3
1 City Children's Hospital, Ho Chi Minh City - Vietnam
2 Hospital For Traumatology And Orthopaedics, Ho Chi Minh City - Vietnam
3 Pham Ngoc Thach University of Medicine, Ho Chi Minh City

Main Article Content

Abstract

Background: Treatment of radial clubhand has progressed over the years from no treatment to aggressive surgical correction. Various surgical methods of correction have been described; Centralization of the carpus over the distal end of the ulna has become the method of choice. Corrective casting prior to centralization is an easy and effective method of obtaining soft tissue stretching before any definitive procedure is undertaken. Moreover, it helps put the limb in a correct position. The outcome of deformity correction by serial casting followed by centralization is discussed. Materials and Methods: In a prospective study, of 12 cases with 15 radial clubhands of Bayne III and IV (with average age 19 months (range 8 months – 35 months) with all males, were treated by gradual soft tissue stretching using corrective cast, followed by centralization (16 cases) and tendon transfers. Results: The average correction attained during the study was 59° of radial deviation. The average third metacarpal to distal ulna angle in anteroposterior view at final follow-up was 12°. Angle of movement at wrist showed a decrease from 78° to 30° during the follow-up period. The range of movement at fingers showed increase in stiffness during the follow-up. The results at the final follow-up, at the end were graded on the basis of Bayne and Klug. 14 out of 15 hands (93%) showed good or satisfactory result based on deformity criteria of Bayne and Klug. Conclusion: The management of radial clubhand by gradual corrective cast followed by centralization and tendon transfers in children is an acceptable method of treatment with consistently satisfactory results.

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References

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