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Release of Extensive Post Traumatic Radio-Ulnar Synostosis with Vascularized Free Flap Interposition

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Abstract

Radioulnar synostosis is a rare complication after a forearm or elbow injury. The severity of initial trauma, associated head injury along with timing and the type of surgical treatment have been implicated in the formation of extra bone leading to synostosis. Surgical intervention is the standard treatment and is recommended after the maturation of synostotic bone. Surgery involves resection of the extra bone with or without tissue interposition. Materials used for interposition may include synthetic materials, allografts, and vascularized and non-vascularized autologous tissue superiority of one material over the other has not been demonstrated. Reported is a case of extensive soft-tissue defect and severe type II synostosis, with a relevant review of the literature.

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Authors and Affiliations

  1. Department of Hand and Microvascular Surgery, Khoula Hospital, Muscat, Sultanate of Oman

    Gopal Malhotra, Rahul Patil, Ghassan Al Yassari, Emad Salah Ibrahim & Venkata Nageshwara Reddy Komma

  2. Christine M Kleinert Institute of Hand Surgery, Louisville, USA

    Rahul Patil

  3. Department of Orthopaedics, Khoula Hospital, Muscat, Oman

    Ghassan Al Yassari

Authors
  1. Gopal Malhotra
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  2. Rahul Patil
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  3. Ghassan Al Yassari
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  4. Emad Salah Ibrahim
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  5. Venkata Nageshwara Reddy Komma
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Correspondence to Rahul Patil.

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This is an observational study. The Khoula Hospital Research Ethics Committee has confirmed that no ethical approval is required.

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Video 1: Reasonable range of pronation and supination achieved at six months following the surgery. (MP4 4738 kb)

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Malhotra, G., Patil, R., Al Yassari, G. et al. Release of Extensive Post Traumatic Radio-Ulnar Synostosis with Vascularized Free Flap Interposition. JOIO 55 (Suppl 2), 493–500 (2021). https://doi.org/10.1007/s43465-021-00395-5

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  • DOI: https://doi.org/10.1007/s43465-021-00395-5

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