Treatment of XXXX .

@entity1 @entity15198 @entity158
UNASSIGNED: Treatment of @entity15198 is still controversial. We reviewed retrospectively 19 @entity1 with @entity15198 (two bilateral, 21cases) who underwent surgery to the radius and ulna to improve range of motion, decrease @entity158 and improve appearance of the wrist. Nineteen @entity1 underwent 21distal radial osteotomy procedures using three different techniques: subtraction, addition or dome osteotomy. Ulnar shortening and redirection of the distal ulna was performed in 12cases; a long oblique osteotomy was used in 10 of these cases. The Sauv  -Kapandji technique was performed in five cases, an ulnar distal epiphysiodesis in two cases and a combination of osteotomy and epiphysiodesis in one case. The aim was to reduce the distal radial slope and to restore the orientation and congruity of the distal radio-ulnar joint and to improve its function. @entity158 was reduced as a result of the procedure: more than 75% of the cases had no or intermittent @entity158 at the review. Pronation improved from 63   to 68   (P=0.467, not significant) and supination improved from 48   to 72   on average (P=0.034, significant). Grip strength increased from 11 to 18kgf (P=0.013, significant). @entity15198 is not always a benign condition and it responds well to corrective osteotomies.
