Surgical options
The surgical armamentarium for the treatment of radial dysplasia includes:
- soft tissue distraction
- centralization
- radialization
- skin redistribution
- ulna osteotomy
- reconstruction of radius
- late bony distraction
Increasingly, soft tissue distraction with an external frame followed by radialization is becoming the treatment standard. If the muscle bulk of the radial side is too atrophic, rather than transfer to the ulnar side during radialization, it may be better to undertake an ulnocarpal fusion rather than risk recurrence of radial deviation due to muscle imbalance.
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