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The Use of a Proximally Based Posterior Interosseous Adipofascial Flap to Prevent Recurrence of Synostosis of the Elbow Joint and Forearm

From the Department of Hand Surgery and Department of Orthopaedic Surgery, Royal North Shore Hospital, St Leonards, Sydney, Australia

Correspondence: Professor M.A. Tonkin, Department of Hand Surgery, Royal North Shore Hospital, St Leonards, Sydney, NSW 2065, Australia. Tel.: +61 2 9926 7778; fax: +61 2 9926 7774. E-mail:mtonkin{at}surgery.usyd.edu.au

We report on four children in whom a proximally based, posterior interosseous artery adipofascial flap was used as an adjunct to surgical resection of synostoses of the forearm and elbow. Three traumatic radio-ulnar and one congenital humero-radial synostoses were treated. The postoperative pronation to supination arc of motion was excellent in all of the traumatic cases and fair in the congenital case.

Key Words: synostosis • humero-radial • radio-ulnar • congenital • traumatic

Journal of Hand Surgery (European Volume), Vol. 32, No. 2, 143-147 (2007)
DOI: 10.1016/J.JHSB.2006.09.004


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