Simultaneous correction of hyper-supination deformity of forearm and flail wrist in patients with traumatic brachial plexus injuries

Abstract

Successful restoration of elbow flexion with nerve surgery in adults with complete brachial plexus injuries commonly develops a hyper-supination deformity of the forearm added to the flail wrist. While the latter is commonly addressed by arthrodesis of the wrist, the hyper-supination deformity would require a pronation osteotomy later. We propose a technique wherein both the procedures are carried out simultaneously. The technique shortens the “wait” of the patient to use their hand in a cosmetically better position and with a stable wrist. An additional surgery is avoided, and earlier rehabilitation is possible.