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Journal of the Korean Society for Surgery of the Hand 2006;11(1):53-57.
Published online March 1, 2006.
Improvement of the Activities of Daily Living (ADL) after Rotational Osteotomy of the Radius in Congenital Radio-ulnar Synostosis
Poong-Taek Kim, In-Ho Jeon, Jae-Woo Park, Sang-Ho Cheon
선천성 요척골 유합증에서 요골 회전 절골술 후 일상 생활 동작의 평가
김풍택, 전인호, 박재우, 천상호
Abstract
Purpose
The purpose of this study is to analyze the patients’perception of functional change in the activities of daily living (ADL) quantitatively after rotational osteotomy of the radius for congenital radio-ulnar synostosis. Materials and Methods: Eight limbs in seven patients with congenital radio-ulnar synostosis were evaluated. The mean age at operation was 6 years, and 7.8 years at evaluation. The mean follow-up period was 18.5 months. We modified the current“ upper limb assessment”protocol to cover 25 ADL items including 10 hygiene and self-care items, 8 feeding-related items, and 7 items that assessed environment interaction. Results: Prior to operation, the fixed degrees of supination of the forearm ranged from 0˚to 20˚. The average overall improvement was 1.4 points (from 3.1 to 4.5 postoperatively). None of the 25 items showed decrease in perceived function after operation. Specifically, score of rice bowl holding and face washing improved remarkably. Chopstick using and button fastening presented slight improvement. Neither the position of the forearm, nor the degree of forearm rotational change correlated with the amount of ADL improvement. Conclusion: The rotational change of the forearm to neutral and supine position (from fixed pronated position) improved the patients’function in ADL.
 
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