旋转截骨治疗先天性上桡尺关书连接

Treatment of Congenital Upper Radio-Ulnar Joint Synosteosis by Rotional Osteotomy

对８例１１个肢体先天性上桡尺关节连接畸形进行了桡尺骨旋转截骨和旋前肌松解术，获得满意的疗效。对手术适应证、手术方法进行了讨论，认为此手术方法尤其适用于严重前臂旋前畸形的病例。

Eight cases(male 7,femalei1)of congenital upper radio-ulnar joint synosteosis were treated from 1982 to 1991.Of them,5 were unilateral and 3 bilateral.Eight extremities were on the left side and 3 on the right side.The diagnosis was confirmed by X-ray examination.The pronation of the forearm was 50～105 degrees.All of them underwent radio-ulnar rotational osteostomy and pronator relaxation with satisfactory results.The indication and procedures are discussed.The authors consider that this method would be useful for cases in severe forearm pronation deformity.