Reconstruction of a postraumatic radial club hand with a free fibular osteoseptocutaneous flap and Sauve-Kapandji procedureA case report

• Type: Article in International Scientific Journal
• Date: 2016

Authors

Horta, R (Author) FMUP; Nascimento, R (Author) Other; Silva, A (Author) Other; Pinto, R (Author) Other; Negrao, P (Author) Other; Sao Simao, R (Author) Other; Carvalho, J (Author) Other; Silva, MS (Author) Other; Amarante J (Author) FMUP

Journal

Title: Microsurgery

Vol. 36

Pages: 593-597

ISSN: 0738-1085

Publisher: Wiley-Blackwell

Indexing

ISI Web of Knowledge - 2 Citations

Scopus - 2 Citations

Other information

Authenticus ID: P-00M-7RZ

DOI: 10.1002/micr.30087

Abstract (EN): Radial club hand may be congenital or acquired; radial deviation of the hand is usually found, associated with palmar flexion-pronation and treatment of severe forms of radial club hand is often difficult. Here we present a case of reconstruction of a severe postraumatic radial club hand with a free fibular osteoseptocutaneous flap and Sauve-Kapandji procedure in a 28-year-old man. The patient had a radial deviation of the wrist and right upper limb shortening as a result of an infected pseudarthrosis of the radius. This deformity was reconstructed with a free fibular osteoseptocutaneous flap associated to arthrodesis of the distal radioulnar joint and an ulnar resection osteotomy proximal to the arthrodesis in order to restore rotation of the forearm (Sauve-Kapandji procedure). The flap fully survived and no complications were seen in the early postoperative period at both recipient and donor sites. Radius alignment was restored. At 5-month follow-up, the skeleton was healed. There was minimal osteopenia at the distal radial segment. Wrist extension was 48 degrees, flexion 24 degrees, and pronation-supination was 58-0-48 degrees, with full finger flexion. The patient could hold a 4 kg dumbbell with the elbow flexed without discomfort. His DASH scoreDisabilities of the Arm, Shoulder, and Hand Questionnaire was 15.83. Combined free fibular osteoseptocutaneous flap and Sauve-Kapandji procedure may be considered in severe forms of postraumatic radial club hand, however, further data are necessary. (c) 2016 Wiley Periodicals, Inc. Microsurgery 36:593-597, 2016.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 5