Secondary Surgery, Forearm
Reinnervation, Hand Function
For the supinated hand , it is not possible to do any soft-tissue procedure when the
supination is fixed . In those cases , the only possibility will be an osteotomy of the Radius .
The incision is made on the lateral distal forearm , over the radius . The lower third of
the bone is exposed and the osteotomy done with a saw . The forearm is rotated 90 to
100° in order to obtain a supination of 45° .
The bone is fixed with a plate and screws . Immobilization with a plaster is maintained
for 6 weeks and the removed . The child is left free avoiding prosupination movements
until the bone is healed , usually at 3 months .