{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T09:31:27Z","timestamp":1776763887796,"version":"3.51.2"},"reference-count":16,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2016,7,28]],"date-time":"2016-07-28T00:00:00Z","timestamp":1469664000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Radial club hand may be congenital or acquired; radial deviation of the hand is usually found, associated with palmar flexion\u2013pronation and treatment of severe forms of radial club hand is often difficult. Here we present a case of reconstruction of a severe postraumatic radial club hand with a free fibular osteoseptocutaneous flap and Sauve\u2013Kapandji procedure in a 28\u2010year\u2010old man. The patient had a radial deviation of the wrist and right upper limb shortening as a result of an infected pseudarthrosis of the radius. This deformity was reconstructed with a free fibular osteoseptocutaneous flap associated to arthrodesis of the distal radioulnar joint and an ulnar resection osteotomy proximal to the arthrodesis in order to restore rotation of the forearm (Sauv\u00e9\u2013Kapandji procedure). The flap fully survived and no complications were seen in the early postoperative period at both recipient and donor sites. Radius alignment was restored. At 5\u2010month follow\u2010up, the skeleton was healed. There was minimal osteopenia at the distal radial segment. Wrist extension was 48 degrees, flexion 24 degrees, and pronation\u2013supination was 58\u20130\u201348 degrees, with full finger flexion. The patient could hold a 4 kg dumbbell with the elbow flexed without discomfort. His DASH score\u2014Disabilities of the Arm, Shoulder, and Hand Questionnaire was 15.83. Combined free fibular osteoseptocutaneous flap and Sauve\u2013Kapandji procedure may be considered in severe forms of postraumatic radial club hand, however, further data are necessary. \u00a9 2016 Wiley Periodicals, Inc. Microsurgery 36:593\u2013597, 2016.<\/jats:p>","DOI":"10.1002\/micr.30087","type":"journal-article","created":{"date-parts":[[2016,7,28]],"date-time":"2016-07-28T14:36:57Z","timestamp":1469716617000},"page":"593-597","source":"Crossref","is-referenced-by-count":4,"title":["Reconstruction of a postraumatic radial club hand with a free fibular osteoseptocutaneous flap and Sauve\u2010Kapandji procedure\u2014A case report"],"prefix":"10.1002","volume":"36","author":[{"given":"Ricardo","family":"Horta","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive and Maxillo\u2010Facial Surgery, and Burn Unity, Centro Hospitalar De S\u00e3o Jo\u00e3o, Faculty of Medicine University of Porto 4202\u2010451 Porto Portugal"},{"name":"Alameda Professor Hern\u00e2ni Monteiro Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo","family":"Nascimento","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Maxillo\u2010Facial Surgery, and Burn Unity, Centro Hospitalar De S\u00e3o Jo\u00e3o, Faculty of Medicine University of Porto 4202\u2010451 Porto Portugal"},{"name":"Alameda Professor Hern\u00e2ni Monteiro Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alvaro","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Maxillo\u2010Facial Surgery, and Burn Unity, Centro Hospitalar De S\u00e3o Jo\u00e3o, Faculty of Medicine University of Porto 4202\u2010451 Porto Portugal"},{"name":"Alameda Professor Hern\u00e2ni Monteiro Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui","family":"Pinto","sequence":"additional","affiliation":[{"name":"Orthopedic Department Centro Hospitalar S\u00e3o Jo\u00e3o, Faculty of Medicine, University of Porto Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Negr\u00e3o","sequence":"additional","affiliation":[{"name":"Orthopedic Department Centro Hospitalar S\u00e3o Jo\u00e3o, Faculty of Medicine, University of Porto Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo","family":"S\u00e3o\u2010Sim\u00e3o","sequence":"additional","affiliation":[{"name":"Orthopedic Department Centro Hospitalar S\u00e3o Jo\u00e3o, Faculty of Medicine, University of Porto Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Maxillo\u2010Facial Surgery, and Burn Unity, Centro Hospitalar De S\u00e3o Jo\u00e3o, Faculty of Medicine University of Porto 4202\u2010451 Porto Portugal"},{"name":"Alameda Professor Hern\u00e2ni Monteiro Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Santos Silva","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Maxillo\u2010Facial Surgery, and Burn Unity, Centro Hospitalar De S\u00e3o Jo\u00e3o, Faculty of Medicine University of Porto 4202\u2010451 Porto Portugal"},{"name":"Alameda Professor Hern\u00e2ni Monteiro Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose","family":"Amarante","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Maxillo\u2010Facial Surgery, and Burn Unity, Centro Hospitalar De S\u00e3o Jo\u00e3o, Faculty of Medicine University of Porto 4202\u2010451 Porto Portugal"},{"name":"Alameda Professor Hern\u00e2ni Monteiro Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,7,28]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.10.014"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2012.4.1.36"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.recot.2013.07.007"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2015.01.010"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(99)00262-4"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/656542"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2015.03.032"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2010.07.002"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1333465"},{"key":"e_1_2_5_11_1","first-page":"112","article-title":"Complications of distal radius fracture fixation","volume":"68","author":"Patel V. 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