Title: A modifi ed Sayre’s technique, for correc􀆟 on of congenital Radial Club Hand Deformity

Biography:

Abdulrahim Aljayar is a consultant Orthopedic surgeon in Aljala Hospital, Libya. He was a former consultant hand surgeon in Benghazi Hospital. He received many awards and
rewards in several Na􀆟 onal and Interna􀆟 onal Conferences

Abstract

Congenital radial club hand is a spectrum of complex
pre-axial upper limb defect, Characterized by radial
devia􀆟 on and fl exion of the hand, hypoplasia, or aplasia of
the radius and thumb, shortened forearm and generalized
underdevelopment of the involved extremity. Since fi rst
described by (Pe􀆟 t) in 1733, however a huge diversity of
techniques ranging conserva􀆟 ve stretching, to the complex
microsurgical interven􀆟 ons, have been suggested, for
treatment, the centraliza􀆟 on remains the core idea, despite
the recognized relapse rates. Such diversity would refl ect
the great challenge of management. Here is a prospec􀆟 ve
assessment of our local exposure, and sa􀆟 sfying results
of correc􀆟 on in13 hands with congenital radial club hand
defi ciency, in 10 pa􀆟 ents, using a newly modifi ed technique
(Sayre). Where we achieved a mean total hand-forearm
angula􀆟 on correc􀆟 on of 71.5 degrees, le􀅌 with only 8.4
degrees mean residual angula􀆟 on a􀅌 er an average 3.8 years
follow up.