Distraction osteogenesis to improve limb function in congenital bilateral humeroradioulnar synostosis

Published online: Dec 27 2006

Gopikrishna Kakarala, Venu Kavarthapu, Om Lahoti

From King's College Hospital, London, United Kingdom


Congenital bilateral humeroradioulnar fusion of the elbow is rare. Many patients tolerate unilateral elbow stiffness very well, but bilateral fixed elbows are very disabling. We report the management of a 13-year-old patient using the Ilizarov technique. The left elbow was ankylosed in 70 degrees flexion. It was gradually lengthened through an osteotomy across the fused elbow and flexed through the regenerate to 110 degrees. This has improved the function of the left arm.