BACKGROUND: @entity19386 ( @entity19386 ) refers to an abnormal connection between the radius and ulna due to embryological failure of separation. Derotational osteotomy has been advocated for @entity1 with functional limitations, although historically this procedure has been associated with a 36% complication rate including @entity2054 and loss of correction. METHODS: A retrospective evaluation of consecutive @entity1 who underwent derotational osteotomy for @entity19386 at a single institution was performed. @entity1 with functional limitations secondary to excessive pronation were indicated for surgery with a goal of correction to 10 to 20 degrees of pronation. All @entity1 were treated with a standardized surgical technique including careful subperiosteal elevation, rotational osteotomy at the level of the @entity8213 , control of the @entity1949 , appropriate pinning techniques, and @entity30352 . Electronic medical records, preoperative radiographs, and postoperative radiographs were reviewed. RESULTS: Derotational osteotomy was performed in 31 forearms in 26 @entity1 (13 bilateral, 13 unilateral) with a mean age of 6.8 years (range, 3.0 to 18.8 y). The mean clinical follow-up was 46 months (range, 6 to 148 mo). The mean preoperative pronation deformity was 85 degrees (range, 60 to 100 degrees). The mean correction achieved was 77 degrees (range, 40 to 95 degrees), resulting in a mean final position of 8 degrees of pronation (range, 0 to 30 degrees). All @entity1 successfully achieved union by 8 weeks postoperatively. There were no cases of @entity455 , or loss of fixation. The overall complication rate was 12% (2 transient anterior @entity129 , 1 transient @entity4542 , 1 symptomatic @entity121 ). Both transient anterior @entity129 occurred in @entity1 with rotational corrections exceeding 80 degrees. CONCLUSIONS: Derotational osteotomy can be safely and effectively performed in @entity1 with @entity19386 . Meticulous surgical technique, including control of the osteotomy, judicious pin fixation, and prophylactic fasiotomies, may diminish the risk of @entity531 and loss of correction. Transient anterior @entity129 occurred, and may be related to large rotational corrections. LEVEL OF EVIDENCE: Level IV-case series.

Safety and Efficacy of Derotational Osteotomy for XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'Children'] @entity129 :: ('MESH:D003389', 'Disease') :: ['interosseous nerve palsies'] @entity1949 :: ('MESH:D012892', 'Disease') :: ['osteotomy fragments'] @entity455 :: ('MESH:D014652', 'Disease') :: ['compartment syndrome, vascular compromise'] @entity121 :: ('MESH:D009135', 'Disease') :: ['muscle herniation'] @entity8213 :: ('MESH:D013580', 'Disease') :: ['synostosis'] @entity30352 :: ('MESH:D005543', 'Disease') :: ['prophylactic forearm fasciotomies'] @entity2054 :: ('MESH:D003161', 'Disease') :: ['compartment syndrome'] @entity531 :: ('MESH:D013901', 'Disease') :: ['neurovascular compromise'] @entity19386 :: ('MESH:C562408', 'Disease') :: ['CRUS', 'Congenital radioulnar synostosis'] @entity4542 :: ('MESH:D020425', 'Disease') :: ['radial nerve palsy']
@entity19386 :: (MESH:C562408,Disease) :: ['Congenital Radioulnar Synostosis']
