[Rotational osteotomy technique for XXXX with central medullary nailing and external fixation].

@entity8213 @entity717 @entity55834 @entity128
PURPOSE OF THE STUDY: @entity55834 is a very uncommon condition. The functional impairment resulting from the complete pronation posture justifies @entity717 . We present a series of six rotational osteotomies using the Hernigou-Goutallier technique. MATERIAL AND METHODS: The Hernigou-Goutallier osteosynthesis procedure is based on a centromedullary nail and two external fixation pins positioned in the ulna at an angle corresponding to the desired rotation. The nail is partially withdrawn to @entity8213 via a horizontal incision between the two pins. After rotation, the osteotomy is stabilized with clamps holding the external fixation pins in parallel. RESULTS: Bone healing was achieved at two months in all six cases with no loss of correction. DISCUSSION: Among the different treatments proposed for radio-ulnar @entity8213 , the risk of vessel or @entity128 is high with screw-plate fixation despite shortening osteotomy. Palm-tree osteotomy raises the same risks and is more invasive and difficult to achieve. The @entity717 technique presented here has the advantage of allowing local care more easily than with cast fixation. Another important advantage is that an overcorrection leading to vessel or @entity128 can be reversed without losing the axis, allowing progressive correction if necessary.
