A systematic review and meta-analysis of the outcome of the surgical correction of Congenital Radioulnar Synostosis

Abstract

Congenital radioulnar synostosis is a rare anomaly of the upper limb. De-rotation osteotomy is a good option to manage the deformity. The indication for surgery was limitation in performing the activities of daily life regardless of the degree of pronation deformity. There is no consensus about the optimal angle of forearm rotation. The preferred position is the neutral as the compensatory movement of the shoulder and wrist will allow proper positioning of the forearm. Objective: To describe the results of surgical correction for congenital radioulnar synostosis and do metanalysis. Data Sources: Medline databases (PubMed, Medscape, ScienceDirect. EMF-Portal) and all materials available in the Internet till 2019. Data Extraction: If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, appropriate controls, and adequate information and defined assessment measures. Conclusion: The indication for surgery depends on the severity of the deformity and the amount of disability. Surgery is usually adjusted to individual needs with various surgical modalities to achieve rotation of the forearm.