scholarly journals Posttraumatic distal radius growth arrest treatment by ilizarov distraction osteogenesis

2019 ◽  
Vol 5 (1) ◽  
pp. 22
Author(s):  
AbdullahA Nada ◽  
MahmoudA El-Rosasy ◽  
Mohamed Romeih
Keyword(s):  
Distal Radius ◽  
Distraction Osteogenesis ◽  
Growth Arrest

Novel Endoprosthesis for Limb Sparing of Canine Distal Radius Osteosarcoma Patients: A Modular Approach

2011 ◽  
Author(s):  
Snehal Shetye ◽  
Stewart Ryan ◽  
Nicole Ehrhart ◽  
Christian Puttlitz
Keyword(s):  
Distal Radius ◽  
Distraction Osteogenesis ◽  
Shear Failure ◽  
Survival Rates ◽  
Bone Allografts ◽  
Combined Use ◽  
Canine Population ◽  
Major Increase ◽  
Directed Research ◽  
Causes Of Failure

Distal radius osteosarcoma accounts for nearly 10% of all cancer-related maladies within the canine population. Traditional methods of treatment include amputation and/or chemotherapy. A major increase in survival rates (from 10% to 60%) with the combined use of these two techniques has now directed research towards saving the limbs of these patients. Massive cortical bone allografts, metal endoprosthesis and distraction osteogenesis are some of the available limb sparing approaches that have been investigated. Distraction osteogenesis requires surgeon expertise and significant post-operative intervention. Cortical allografts require the maintenance of a bone bank. Furthermore, they are associated with increased infection rates and ultimately result in amputation of the affected limb. Metal endoprostheses are a viable alternative to these methods. A metal endoprosthesis has previously been developed for limb sparing of distal radius osteosarcoma patients. However, a clinical trial of this device demonstrated failure rates of approximately 40%. The major causes of failure were screw pullout and shear failure of the proximal radius screws. A computational finite element study conducted in our laboratory corroborated these findings and provided critical information as regards to the structural causes of failure for these implants.

scholarly journals Corrective Osteotomy and Bone Distraction Using External Fixation in Patients With Delayed Deformity of Distal Radius Growth Arrest

Hand ◽  
2016 ◽  
Vol 11 (1_suppl) ◽  
pp. 51S-51S
Author(s):  
Eduardo Farias Vasquez ◽  
Rodrigo Tiago Berlink Faria ◽  
Anderson Vieira Monteiro ◽  
Fernando Adolphsson ◽  
Rafael Aquino Feal
Keyword(s):  
External Fixation ◽  
Distal Radius ◽  
Corrective Osteotomy ◽  
Growth Arrest ◽  
Bone Distraction

scholarly journals Single-stage Distal Radius Dome Osteotomy with Ulnar Diaphyseal Shortening and Distal Ulnar Epiphysiodesis in A Case of Manus Valgus Deformity Secondary to Post-Traumatic Physeal Growth Arrest – A Case Report

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Aniruddha Sinha Sarkar ◽  
Ranadeb Bandyopadhyay ◽  
Pathikrit Guha Niyogi
Keyword(s):  
Case Report ◽  
Grip Strength ◽  
Distal Radius ◽  
Growth Arrest ◽  
Valgus Deformity ◽  
Left Wrist ◽  
Radial Inclination ◽  
Radial Deviation ◽  
Dome Osteotomy ◽  
Post Traumatic

Introduction: Distal radius physeal growth arrest in children secondary to trauma is a rare complication. Various modalities of surgical treatment exist. Correction of severe deformity by a single-stage surgery is rare in current literature. We describe a case of surgically treated post-traumatic manus valgus deformity in an adolescent female with a satisfactory surgical outcome. Case Report: A 13-year-old right-hand dominant girl presented to us with a painless, gradually progressive left wrist deformity for the past 3 years. She sustained a left wrist injury 3.5 years back for which she received native treatment. She was able to do most of her daily activities and cosmetic disability was her primary concern. She had a 20° fixed radial deviation deformity with further radial deviation up to 60°. Forearm rotation was from 70° supination to 60° pronation. Her pre-operative Mayo Modified Wrist Score was 25/10/10/25/70 (Pain/Satisfaction/Range of motion/Grip strength/Total). Radiologically, there was the obliteration of lateral distal radial physis with overgrowth of medial physis. Distal ulnar physeal overgrowth led to positive ulnar variance. Radiologically, the magnitude of deformity was 43° manus valgus (+24° radial inclination). We performed dome osteotomy at distal radius metaphysis with distal radius plating through modified Henry approach. Simultaneous ulnar diaphyseal shortening osteotomy with plate fixation was done through a dorsal approach and distal ulnar epiphysiodesis was done by physeal drilling to prevent future overgrowth. At 13 months follow-up, the wrist has clinically no deformity and radiologically 5° manus valgus (+24° radial inclination). Both the osteotomy sites have united and ulnar variance is restored. Now, her ulnar deviation was 20° and radial deviation was 30°. Her forearm rotational arc was maintained. Mayo Modified Wrist Score was 25/25/10/25/85 (Pain/Satisfaction/Range of motion/Grip strength/Total) with no hindrance of daily activity.

scholarly journals Two-stage treatment of a growth arrest of the distal radius—a case report

2004 ◽  
Vol 75 (6) ◽  
pp. 775-778
Author(s):  
Guy Dagregorio ◽  
Yann Saint-Cast
Keyword(s):  
Case Report ◽  
Distal Radius ◽  
Growth Arrest ◽  
Two Stage

Two-stage treatment of a growth arrest of the distal radius - a case report

2004 ◽  
Vol 75 (6) ◽  
pp. 1-1
Author(s):  
Guy Dagregorio ◽  
Yann Saint-Cast
Keyword(s):  
Case Report ◽  
Distal Radius ◽  
Growth Arrest ◽  
Two Stage

scholarly journals Posttraumatic distal radius growth arrest as a cause of the development of distal radioulnar joint instability in children

2021 ◽  
Vol 9 (1) ◽  
pp. 87-94
Author(s):  
Yaroslav N. Proschenko ◽  
Sergey Yu. Semenov
Keyword(s):  
Distal Radius ◽  
Wrist Joint ◽  
Growth Arrest ◽  
Clinical Manifestations ◽  
Growth Zone ◽  
Distal Radioulnar Joint ◽  
Time Interval ◽  
Radius Fractures ◽  
Radioulnar Joint ◽  
Druj Instability

BACKGROUND: The distal radial physis is involved in the injury process in approximately 15% of distal radius fractures. Distal radius physeal arrest and the normal functioning of the distal ulna growth lead to lengthening and dislocation of the head of the ulna in the distal radioulnar joint (DRUJ). These changes, in turn, lead to pain syndrome and forearm dysfunction, which is a manifestation of DRUJ instability. AIM: This study aims to evaluate the results of a study of pediatric patients with traumatic DRUJ instability. MATERIALS AND METHODS: An analysis of the results of the examination of 11 children aged from 13 to 17 years with traumatic type DRUJ instability due to the distal radius growth arrest. RESULTS: According to the X-ray examination data, all children showed closure of the distal growth zone of the radius and ulnar positive variant (ulna +). The shortening of the radius was calculated. Also, the time interval between the injury and the discovery of the wrist joint pathology was estimated. All types of radius fractures with growth plate involvement can cause physeal arrest, leading to a DRUJ instability. The interval from the acute wrist injury with damage to the distal radius growth zone to develop clinical manifestations of a DRUJ instability is 2.4 years on average. CONCLUSION: The development of this type of traumatic DRUJ instability is typical only in children since changes occur in the presence of an active growth zone and are associated with previous fractures of the distal radius. Therefore, a long-term dispensary observation by a traumatologist-orthopedist is necessary for patients with this pathology.

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