Outcomes of radialization for radial longitudinal deficiency

20 limbs with minimum 5-year follow-up

Anil K. Bhat, Jayakrishnan K. Narayanakurup, Ashwath M. Acharya, Bhaskaranand Kumar

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

We report functional and cosmetic outcomes in 14 patients (six bilateral and eight unilateral) with type IV radial longitudinal deficiency who underwent radialization. Follow-up ranged from 5 to 19 years. Outcome measures were grip and pinch strengths, Percival and Sykes score, Vilkki score, Cattaneo grading, and a questionnaire to patients. Radiological assessment included the hand-forearm angle, the hand-forearm position, and ulna length and width. At final follow-up, the length of the affected ulna was 56% of the length of the normal ulna. The distal ulna hypertrophied to 97% of the opposite distal radius and a median loss of correction of hand-forearm angle was 9°. All hands improved on Vilkki severity grade and on the Cattaneo functional and aesthetic grading. We conclude that radialization is an effective procedure in these cases, but secondary procedures may be required for the long-term maintenance of wrist alignment and hand function. Level of evidence: IV.

Original languageEnglish
JournalJournal of Hand Surgery: European Volume
DOIs
Publication statusPublished - 01-01-2019

Fingerprint

Ulna
Extremities
Hand
Forearm
Pinch Strength
Hand Strength
Wrist
Esthetics
Cosmetics
Outcome Assessment (Health Care)

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

@article{c65e52cbb660439a80c050d9c76d64c7,
title = "Outcomes of radialization for radial longitudinal deficiency: 20 limbs with minimum 5-year follow-up",
abstract = "We report functional and cosmetic outcomes in 14 patients (six bilateral and eight unilateral) with type IV radial longitudinal deficiency who underwent radialization. Follow-up ranged from 5 to 19 years. Outcome measures were grip and pinch strengths, Percival and Sykes score, Vilkki score, Cattaneo grading, and a questionnaire to patients. Radiological assessment included the hand-forearm angle, the hand-forearm position, and ulna length and width. At final follow-up, the length of the affected ulna was 56{\%} of the length of the normal ulna. The distal ulna hypertrophied to 97{\%} of the opposite distal radius and a median loss of correction of hand-forearm angle was 9°. All hands improved on Vilkki severity grade and on the Cattaneo functional and aesthetic grading. We conclude that radialization is an effective procedure in these cases, but secondary procedures may be required for the long-term maintenance of wrist alignment and hand function. Level of evidence: IV.",
author = "Bhat, {Anil K.} and Narayanakurup, {Jayakrishnan K.} and Acharya, {Ashwath M.} and Bhaskaranand Kumar",
year = "2019",
month = "1",
day = "1",
doi = "10.1177/1753193418788935",
language = "English",
journal = "Journal of Hand Surgery",
issn = "0266-7681",
publisher = "SAGE Publications Ltd",

}

Outcomes of radialization for radial longitudinal deficiency : 20 limbs with minimum 5-year follow-up. / Bhat, Anil K.; Narayanakurup, Jayakrishnan K.; Acharya, Ashwath M.; Kumar, Bhaskaranand.

In: Journal of Hand Surgery: European Volume, 01.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Outcomes of radialization for radial longitudinal deficiency

T2 - 20 limbs with minimum 5-year follow-up

AU - Bhat, Anil K.

AU - Narayanakurup, Jayakrishnan K.

AU - Acharya, Ashwath M.

AU - Kumar, Bhaskaranand

PY - 2019/1/1

Y1 - 2019/1/1

N2 - We report functional and cosmetic outcomes in 14 patients (six bilateral and eight unilateral) with type IV radial longitudinal deficiency who underwent radialization. Follow-up ranged from 5 to 19 years. Outcome measures were grip and pinch strengths, Percival and Sykes score, Vilkki score, Cattaneo grading, and a questionnaire to patients. Radiological assessment included the hand-forearm angle, the hand-forearm position, and ulna length and width. At final follow-up, the length of the affected ulna was 56% of the length of the normal ulna. The distal ulna hypertrophied to 97% of the opposite distal radius and a median loss of correction of hand-forearm angle was 9°. All hands improved on Vilkki severity grade and on the Cattaneo functional and aesthetic grading. We conclude that radialization is an effective procedure in these cases, but secondary procedures may be required for the long-term maintenance of wrist alignment and hand function. Level of evidence: IV.

AB - We report functional and cosmetic outcomes in 14 patients (six bilateral and eight unilateral) with type IV radial longitudinal deficiency who underwent radialization. Follow-up ranged from 5 to 19 years. Outcome measures were grip and pinch strengths, Percival and Sykes score, Vilkki score, Cattaneo grading, and a questionnaire to patients. Radiological assessment included the hand-forearm angle, the hand-forearm position, and ulna length and width. At final follow-up, the length of the affected ulna was 56% of the length of the normal ulna. The distal ulna hypertrophied to 97% of the opposite distal radius and a median loss of correction of hand-forearm angle was 9°. All hands improved on Vilkki severity grade and on the Cattaneo functional and aesthetic grading. We conclude that radialization is an effective procedure in these cases, but secondary procedures may be required for the long-term maintenance of wrist alignment and hand function. Level of evidence: IV.

UR - http://www.scopus.com/inward/record.url?scp=85052495691&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85052495691&partnerID=8YFLogxK

U2 - 10.1177/1753193418788935

DO - 10.1177/1753193418788935

M3 - Article

JO - Journal of Hand Surgery

JF - Journal of Hand Surgery

SN - 0266-7681

ER -