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Four boys and 7 girls indicate aged 8 years (5-12) ended up operated on in between 2000 and 2010. The mean preoperative supination was calculated at 63°. The closing position common pronation was 37°. Loss of pronation was calculated at 15°. No complication was observed. Quatre garçons et sept filles d’âge moyen 8 ans (extrêmes 5-12) ont été opérés entre 2000 et 2010. La supination moyenne préopératoire était mesurée à 63°. La placement finale moyenne de pronation était de 37°. La perte de pronation était évaluée à 15°. Aucune complication n’a été déplorée. Avec un suivi moyen de 4 ans (extrêmes 2-12), l’ostéotomie en roseau du radius associée à une ostéotomie proximale transversale de l’ulna a prouvé son efficacité de correction sur la paralysie de la pronation de l’avant-bras, sans complication ni reprise chirurgicale. La approach chirurgicale consistait en une ostéotomie proximale de l’ulna fixée par un enclouage centromédullaire élastique secure et une ostéotomie en roseau du radius. The surgical procedure consisted of a proximal osteotomy of the ulna preset by an intramedullary nail and a secure elastic reed osteotomy of the radius. Two of 25 (8%) youngsters underwent subsequent forearm osteotomy

The surgeon could alternatively decide on to pass the FCU through the interosseous membrane to lessen the supination vector. Ozkan et al. made use of a vector modification to enhance forearm supination by routing the brachioradialis dorsally close to the radius and then securing it back again to its initial insertion.25,26 In a cadaver product, Ward et al. Pre- and postoperative energetic pronation (AP) and supination (AS), elbow flexion contracture, and arc of forearm rotation (Arc) had been analyzed applying linear combined-outcome types. Other causes of paralytic supination ended up excluded. With a mean stick to-up of 4 a long time (2-12), the reed osteotomy of radius connected with a proximal transverse osteotomy of ulna has proven by itself productive for correction of paralytic supination of the forearm with no complication or reoperation. This retrospective analyze included eleven people with paralytic supination of the forearm because of to a brachial plexus injury. This critique confirmed an over-all benefit for forearm osteotomies and for biceps rerouting for supination deformity with the gain proportionate to the severity of the deformity

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