DOI: 10.36347/sjmcr.2018.v06i10.009

Pages: 763-768

Congenital radio-ulnar synostosis is rare deformity, causing limitation of prono-supination. Often discovered at school-age. The forearm is mostly fixed in position of pronation. The transverse rotational osteotomy through the fusion mass the intervention that we propose. Objectives of our study remind clinical data, describe the techniques used for therapeutic management and compare our results with those of the literature. This is a retrospective analysis of 7 cases of congenital radio-ulnar synostosis followed and treated at the pediatric orthopedic department of the hospital of children of Rabat between January 2006 to February 2017. In the results of our study, we have the average age who is about 32.5 months with predominance of male; the involvement is bilateral in 57.7% of cases and unilateral in 42.8% of cases. According to the Cleary and Omer classification, 57.1% of cases were classified as type III, and 42.8% of cases were classified as type IV. In all cases, the forearms were fixed in position of pronation. Regarding the treatment, 10 forearms were operated consisted on a rotational osteotomy through the fusion mass, without any postoperative complications.