{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:15:40Z","timestamp":1787019340040,"version":"build-2736575974"},"reference-count":21,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T00:00:00Z","timestamp":1727481600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The one-bone forearm procedure has been considered as a potential treatment for severe forearm deformities. However, its primary limitation lies in the elevated risks of nonunion and infection. In order to enhance union rates, a technical modification was introduced, aiming not only to establish end-to-end radio-ulnar fixation but also to incorporate an additional overlay and fixation between the proximal and distal radius osteotomy stumps. This technique, initially applied in a heterogeneous patient population including individuals with neurological, tumoral, and congenital conditions, yielded promising results, achieving a consolidation rate of 100% and enabling supination corrections of up to 120\u00b0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this study, we present a retrospective cohort of 28 patients, with an average age of 9\u2009years, all afflicted by forearm supination contracture exceeding 90\u00b0 secondary to neonatal brachial plexus injury. These patients underwent treatment with the modified technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean correction achieved in forearm rotation was 116\u00b0, and the average follow-up period extended to 43\u2009months. Remarkably, all patients exhibited bone union within an average period of 6.6\u2009weeks, without any complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our findings underscore the efficacy of this modified technique, which enables substantial rotational corrections, boasts a high union rate, and maintains a low incidence of complications. This approach is particularly valuable for young patients suffering from neonatal brachial plexus injury with severe fixed supination deformities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case series, Level of evidence:<\/jats:title>\n                    <jats:p>IV<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/18632521241276348","type":"journal-article","created":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T03:25:02Z","timestamp":1727493902000},"page":"540-545","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["One-bone forearm for the treatment of supination contractures secondary to neonatal brachial plexus injury"],"prefix":"10.1177","volume":"18","author":[{"given":"Juliana","family":"Rojas-Neira","sequence":"first","affiliation":[{"name":"Hand Surgery and Microsurgery Department, Pontificial Javeriana University, Cali, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3257-0003","authenticated-orcid":false,"given":"Camilo","family":"Chaves","sequence":"additional","affiliation":[{"name":"Institut de la Main Nantes Atlantique Saint Herblain, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"D\u00edaz-Gallardo","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedic Unit, Hospital Sant pau, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trong-Quynh","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedic Unit, Saint Paul Hospital, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan J","family":"Dominguez-Amador","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedic Unit, Hospital Puerta del Mar, Cadiz, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1759-9868","authenticated-orcid":false,"given":"Francisco","family":"Soldado","sequence":"additional","affiliation":[{"name":"Pediatric Hand Surgery and Microsurgery Instituto De Investigaci\u00f3n Sanitaria Hm Hospitales (IISHM) HM Nens, Barcelona, 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