Aj. Thurston et Na. Spry, POSTTRAUMATIC RADIOULNAR SYNOSTOSIS TREATED BY SURGICAL EXCISION AND ADJUNCTIVE RADIOTHERAPY, Australian and New Zealand journal of surgery, 63(12), 1993, pp. 976-980
The management of three cases of traumatic radio-ulnar synostosis invo
lved surgical excision of the synostotic bone followed by radiotherapy
. Irradiation was commenced on the first postoperative day and was con
tinued daily. The first patient received 20 Gy midline in 10 fractions
and the second and third patients 10 Gy in five fractions. No acute s
ide effects were observed. All three patients regained a good, functio
nal range of forearm rotation with no evidence of recurrence of the sy
nostosis after 2 years. This method of treatment is recommended as an
alternative to other adjunctive therapies including interposition of m
aterial such as silicone sheet between the bones or peri-operative pha
rmacological suppression.