Modified Ilizarov technique for the treatment of forearm deformities in multiple cartilaginous exostoses: case series and literature review.

S. H. Song, H. Lee, H. Youssef, S. M. Oh, J. H. Park, H. R. Song

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

The aim of this study is to evaluate the results of gradual ulnar correction and lengthening using the modified Ilizarov technique for the treatment of forearm deformities in patients with multiple cartilaginous exostoses. We retrospectively reviewed 23 forearms in 16 patients. Three different types of operative procedures were performed: (1) corrective osteotomy and gradual lengthening of the ulna, (2) corrective osteotomy of the radius, and (3) excision of exostoses. We evaluated the radiographs; range of motion of the wrist, forearm, and elbow; and functional status using a questionnaire before and after operation. During the clinical interview, post-operative functional status was significantly improved than pre-operative functional status, 12 patients stated that they had no difficulty in performing daily activities, 11 patients stated that they had no pain, and 11 patients stated that the post-operative appearance of the operated forearm was satisfactory. At time of final follow-up, the mean range of motion of the wrist in ulnar/radial deviation, forearm pronation/supination was significantly improved. Also, the radiographic parameters including radial articular angle, carpal slip, radial bowing, and ulnar variance were significantly improved at time of final follow-up. In conclusion, we achieved successful clinical and radiological outcomes in our patients with forearm deformities after treatment with the modified Ilizarov method. However, there could be a recurrence of ulnar shortening and deformity during growth periods in skeletally immature patients.

Original languageEnglish
Pages (from-to)288-296
Number of pages9
JournalThe Journal of hand surgery, European volume
Volume38
Issue number3
DOIs
Publication statusPublished - 2013 Mar 1

Fingerprint

Ilizarov Technique
Multiple Hereditary Exostoses
Forearm
Wrist
Osteotomy
Articular Range of Motion
Therapeutics
Exostoses
Pronation
Supination
Ulna
Operative Surgical Procedures
Elbow
Joints
Interviews
Recurrence
Pain

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Modified Ilizarov technique for the treatment of forearm deformities in multiple cartilaginous exostoses : case series and literature review. / Song, S. H.; Lee, H.; Youssef, H.; Oh, S. M.; Park, J. H.; Song, H. R.

In: The Journal of hand surgery, European volume, Vol. 38, No. 3, 01.03.2013, p. 288-296.

Research output: Contribution to journalArticle

@article{7bbcb7848fc84ae3961892324e2fd161,
title = "Modified Ilizarov technique for the treatment of forearm deformities in multiple cartilaginous exostoses: case series and literature review.",
abstract = "The aim of this study is to evaluate the results of gradual ulnar correction and lengthening using the modified Ilizarov technique for the treatment of forearm deformities in patients with multiple cartilaginous exostoses. We retrospectively reviewed 23 forearms in 16 patients. Three different types of operative procedures were performed: (1) corrective osteotomy and gradual lengthening of the ulna, (2) corrective osteotomy of the radius, and (3) excision of exostoses. We evaluated the radiographs; range of motion of the wrist, forearm, and elbow; and functional status using a questionnaire before and after operation. During the clinical interview, post-operative functional status was significantly improved than pre-operative functional status, 12 patients stated that they had no difficulty in performing daily activities, 11 patients stated that they had no pain, and 11 patients stated that the post-operative appearance of the operated forearm was satisfactory. At time of final follow-up, the mean range of motion of the wrist in ulnar/radial deviation, forearm pronation/supination was significantly improved. Also, the radiographic parameters including radial articular angle, carpal slip, radial bowing, and ulnar variance were significantly improved at time of final follow-up. In conclusion, we achieved successful clinical and radiological outcomes in our patients with forearm deformities after treatment with the modified Ilizarov method. However, there could be a recurrence of ulnar shortening and deformity during growth periods in skeletally immature patients.",
author = "Song, {S. H.} and H. Lee and H. Youssef and Oh, {S. M.} and Park, {J. H.} and Song, {H. R.}",
year = "2013",
month = "3",
day = "1",
doi = "10.1177/1753193412450651",
language = "English",
volume = "38",
pages = "288--296",
journal = "Journal of Hand Surgery",
issn = "0266-7681",
publisher = "SAGE Publications Ltd",
number = "3",

}

TY - JOUR

T1 - Modified Ilizarov technique for the treatment of forearm deformities in multiple cartilaginous exostoses

T2 - case series and literature review.

AU - Song, S. H.

AU - Lee, H.

AU - Youssef, H.

AU - Oh, S. M.

AU - Park, J. H.

AU - Song, H. R.

PY - 2013/3/1

Y1 - 2013/3/1

N2 - The aim of this study is to evaluate the results of gradual ulnar correction and lengthening using the modified Ilizarov technique for the treatment of forearm deformities in patients with multiple cartilaginous exostoses. We retrospectively reviewed 23 forearms in 16 patients. Three different types of operative procedures were performed: (1) corrective osteotomy and gradual lengthening of the ulna, (2) corrective osteotomy of the radius, and (3) excision of exostoses. We evaluated the radiographs; range of motion of the wrist, forearm, and elbow; and functional status using a questionnaire before and after operation. During the clinical interview, post-operative functional status was significantly improved than pre-operative functional status, 12 patients stated that they had no difficulty in performing daily activities, 11 patients stated that they had no pain, and 11 patients stated that the post-operative appearance of the operated forearm was satisfactory. At time of final follow-up, the mean range of motion of the wrist in ulnar/radial deviation, forearm pronation/supination was significantly improved. Also, the radiographic parameters including radial articular angle, carpal slip, radial bowing, and ulnar variance were significantly improved at time of final follow-up. In conclusion, we achieved successful clinical and radiological outcomes in our patients with forearm deformities after treatment with the modified Ilizarov method. However, there could be a recurrence of ulnar shortening and deformity during growth periods in skeletally immature patients.

AB - The aim of this study is to evaluate the results of gradual ulnar correction and lengthening using the modified Ilizarov technique for the treatment of forearm deformities in patients with multiple cartilaginous exostoses. We retrospectively reviewed 23 forearms in 16 patients. Three different types of operative procedures were performed: (1) corrective osteotomy and gradual lengthening of the ulna, (2) corrective osteotomy of the radius, and (3) excision of exostoses. We evaluated the radiographs; range of motion of the wrist, forearm, and elbow; and functional status using a questionnaire before and after operation. During the clinical interview, post-operative functional status was significantly improved than pre-operative functional status, 12 patients stated that they had no difficulty in performing daily activities, 11 patients stated that they had no pain, and 11 patients stated that the post-operative appearance of the operated forearm was satisfactory. At time of final follow-up, the mean range of motion of the wrist in ulnar/radial deviation, forearm pronation/supination was significantly improved. Also, the radiographic parameters including radial articular angle, carpal slip, radial bowing, and ulnar variance were significantly improved at time of final follow-up. In conclusion, we achieved successful clinical and radiological outcomes in our patients with forearm deformities after treatment with the modified Ilizarov method. However, there could be a recurrence of ulnar shortening and deformity during growth periods in skeletally immature patients.

UR - http://www.scopus.com/inward/record.url?scp=84882999272&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84882999272&partnerID=8YFLogxK

U2 - 10.1177/1753193412450651

DO - 10.1177/1753193412450651

M3 - Article

C2 - 22719009

AN - SCOPUS:84882999272

VL - 38

SP - 288

EP - 296

JO - Journal of Hand Surgery

JF - Journal of Hand Surgery

SN - 0266-7681

IS - 3

ER -