OPERATIVE CORRECTION OF RADIAL CLUB HAND - A LONG-TERM FOLLOW-UP OF CENTRALIZATION OF THE HAND ON THE ULNA

We have reviewed the clinical and functional results of 21 centralizat ions for radial club hand in 17 patients, 21 to 31 (mean 27) years aft er operation. There were 13 associated pollicizations. Although the ul na was always short, no premature fusions of the distal ulnar epiphysi s were found, Overall upper limb function was assessed by grip strengt hs and Moberg and Jebsen tests of manual dexterity and was satisfactor y, This review emphasizes the important roles of centralization and po llicization in the surgical management of children with radial absence .