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Article

Radial Club Hand Treated by Paley Ulnarization Generation 3: Is This the New Centralization?

1
Department of Orthopedics and Rehabilitation, Warsaw Medical University, 02-091 Warsaw, Poland
2
Paley European Institute, 02-972 Warsaw, Poland
3
Paley Orthopedic and Spine Institute, 901 45th St. Kimmel Building, West Palm Beach, FL 33407, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Vito Pavone
Children 2021, 8(7), 562; https://doi.org/10.3390/children8070562
Received: 10 May 2021 / Revised: 23 June 2021 / Accepted: 24 June 2021 / Published: 29 June 2021
(This article belongs to the Special Issue Limb Lengthening and Reconstruction in Children)
(1) Background: Patients treated with the two previous generations of ulnarization developed a bump related to the ulnar head becoming prominent on the radial side of the hand. To finally remedy this problem, a third generation of ulnarization was developed to keep the ulnar head contained. While still ulnar to the wrist center, the center of the wrist remains ulnar to the ulnar head, with the ulnar head articulating directly with the trapezoid and when present the trapezium. (2) Methods: Between 2019 and 2021, 22 radial club hands in 17 patients were surgically corrected with this modified version of ulnarization. (3) Results: In all 17 patients, the mean HFA (hand–forearm-angle) correction was 68.5° (range 12.2°–88.7°). The mean ulna growth was 1.3 cm per year (range 0.2–2 cm). There were no recurrent radial deviation deformities more than 15° of the HFA. (4) Conclusions: This new version of ulnarization may solve the problem of the ulna growing past the carpus creating a prominent ulnar bump. The results presented are preliminary but promising. Longer-term follow-up is needed to fully evaluate this procedure. View Full-Text
Keywords: radial club hand; ulnarization; radialization; centralization; radial aplasia; radial longitudinal defect radial club hand; ulnarization; radialization; centralization; radial aplasia; radial longitudinal defect
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MDPI and ACS Style

Deszczynski, J.M.; Albrewczynski, T.; Shannon, C.; Paley, D. Radial Club Hand Treated by Paley Ulnarization Generation 3: Is This the New Centralization? Children 2021, 8, 562. https://doi.org/10.3390/children8070562

AMA Style

Deszczynski JM, Albrewczynski T, Shannon C, Paley D. Radial Club Hand Treated by Paley Ulnarization Generation 3: Is This the New Centralization? Children. 2021; 8(7):562. https://doi.org/10.3390/children8070562

Chicago/Turabian Style

Deszczynski, Jaroslaw M., Tomasz Albrewczynski, Claire Shannon, and Dror Paley. 2021. "Radial Club Hand Treated by Paley Ulnarization Generation 3: Is This the New Centralization?" Children 8, no. 7: 562. https://doi.org/10.3390/children8070562

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