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Orthopedics Community
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Radioulnar Fusion
by snwbrdr12, Apr 29, 2008 10:48PM
I had a radioulnar fusion in 2003. It took 2 surgeries because the first one didn't hold. In the second surgery, the doc put 11 screws, 2 plates, and cadaver bone in my forearm and 1 screw in my elbow. It has never stopped hurting since that surgery. I'm not supposed to be able to pronate or supinate, but I can partially. When I do, it crunches and pops. It's really painful and twice the size of my other arm. If the doctor takes the screws and plates out, will the fusion hold up? If not, are there any other solutions?
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What has been the cause of radioulnar fusion?
What is due to some trauma or previous surgery of congenital with late or incidental detection?
The most common cause of posttraumatic radioulnar synostosis is an operatively treated forearm fracture. High-energy, comminuted, open fractures are more likely to develop this complication.
Attempts to achieve and maintain motion at the fusion site are usually not successful and typically recur
Minimal periosteal disruption prevents further stimulation of bone, limiting recurrence. Minimal postoperative immobilization is recommended. However, this needs to judged and decided by your orthopedician and needs to be related to the indication for the surgery.
Take care