Abstract：
Addressing the deforming stresses arising from soft tissue and continued skeletal development is crucial to obtain long-term correction of forearm carpal alignment in Radial longitudinal deficiency. The aim of the present study was to report the medium-term follow-up results of radialization with ulnar cuff osteotomy in children. A total of 17 patients (21 involved limbs) with a mean follow-up of 66 months (range 50 to 96) were reviewed. Mean correction of the hand forearm angle at the final follow-up was 51°. Mean hand forearm position preoperatively and at the final follow-up were -1.1 cm (SD 0.9) and +1.3 cm (SD 0.8), respectively. This metaphyseal osteotomy relaxed the radial structures throughout the original phase of deformity correction. The mean ulnar growth was 62% of the contralateral side at the final follow-up. Our technique may provide a feasible solution to the correction and prevent recurrence of deformity while maintaining ulnar growth in the medium to longer term.Level of evidence: III.
摘要：
解决软组织和持续骨骼发育引起的变形应力对于在径向纵向缺陷中获得前臂腕部对齐的长期矫正至关重要。本研究的目的是报告儿童尺袖截骨术的中期随访结果。对总共17例患者（21例累及肢体）进行了回顾，平均随访66个月（范围50至96）。最终随访时手前臂角度的平均校正为51°。术前和最终随访时的平均手前臂位置分别为-1.1cm（SD0.9）和1.3cm（SD0.8），分别。在畸形矫正的整个原始阶段，这种干phy端截骨术放松了radial骨结构。在最后一次随访中，尺骨平均生长为对侧的62％。我们的技术可以为矫正提供可行的解决方案，并防止畸形的复发，同时在中长期保持尺骨生长。证据等级：III.
