Open AccessRelease of Extensive Post Traumatic Radio-Ulnar Synostosis with Vascularized Free Flap Interposition
Author(s) -
Gopal Malhotra,
Rahul K Patil,
Ghassan Al Yassari,
Emad M. Ibrahim,
Venkata Nageshwara Reddy Komma
Publication year - 2021
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.1007/s43465-021-00395-5
Subject(s) - medicine , synostosis , surgery , forearm , soft tissue , elbow , interosseous membrane , complication
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. Level of Evidence Level IV.