About Centralization Of Ulna
Key Highlights
-
Restores functional alignment of the wrist and hand on the forearm.Improves grip strength and overall hand function for daily activities.Corrects significant cosmetic deformity, aiding in psychosocial development.Prevents progressive wrist instability and secondary joint problems.Often performed as part of a staged, multidisciplinary treatment plan tailored to the child's growth.
Who is this surgery for?
- Radial Longitudinal Deficiency (Radial Club Hand) - the most common indication.
- Severe, unstable post-traumatic deformities of the distal ulna and wrist in children.
- Certain types of ulnar longitudinal deficiency where wrist stabilization is required.
- Failed previous soft-tissue procedures to correct wrist deviation.
- A wrist that is unstable, painful, or significantly limits function due to malalignment.
How to prepare
- Comprehensive clinical evaluation by a pediatric orthopedic surgeon, including assessment of hand and elbow function.
- Imaging studies: X-rays of the forearm and wrist, and often a 3D CT scan for detailed surgical planning.
- Possible pre-operative stretching and splinting to improve soft tissue flexibility.
- Pre-anesthetic check-up to ensure the child is fit for surgery.
- Discussion with the family about surgical goals, stages, recovery expectations, and long-term therapy needs.
Risks & possible complications
- Infection at the surgical site.
- Bleeding or hematoma formation.
- Nerve or blood vessel injury, potentially affecting sensation or blood flow to the hand.
- Stiffness of the wrist, fingers, or elbow.
- Recurrence of deformity or incomplete correction.
- Problems with bone healing or implant-related issues (e.g., pin irritation, breakage).li>
- Need for additional surgeries in the future as the child grows.
Recovery & hospital stay
- Hospital stay for initial pain management and monitoring of neurovascular status.
- The arm will be placed in a long cast or splint for several weeks to protect the correction.
- Strict elevation of the limb is crucial to reduce swelling in the first few days.
- Pain medication and antibiotics as prescribed.
- Initiation of occupational/physical therapy once the cast is removed to regain motion and strength.
- Long-term use of a removable splint or brace, especially at night, may be recommended.
- Regular follow-up visits for X-rays to monitor healing and growth.
-
Typical hospital stay: 3-5 days
-
Expected recovery time: 6-12 months for full functional recovery (initial cast removal at 4-6 weeks)
Frequently Asked Questions
If you are considering centralization of ulna in India, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in India with pediatric orthopedics departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform centralization of ulna. MediFyr helps you compare pediatric orthopedics and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for centralization of ulna compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 150 Thousand – 350 Thousand | 3-5 days | ~ 6-12 months for full functional recovery (initial cast removal at 4-6 weeks) | Know More |
| Turkey | TRY 525 Thousand – 1.23 Million | 3-5 days | ~ 6-12 months for full functional recovery (initial cast removal at 4-6 weeks) | Know More |
Emily Roy is a cheerful 4-year-old...
Emily Roy is a cheerful 4-year-old who loves to draw and play with her dolls. She was born with a condition called Radial Longitudinal Deficiency, where her right forearm was shorter than her left, and her hand was bent sharply at the wrist, making it difficult for her to grasp objects. Her parents first noticed she couldn't hold a crayon properly and would get frustrated trying to pick up toys. After consulting with a pediatric orthopedic surgeon, they learned Emily's wrist was unstable and her hand was drifting further out of alignment. The doctor recommended a Centralization of the Ulna procedure to reposition her hand over the end of her ulna bone, creating a stable, functional wrist joint. The surgery was complex, followed by a cast for several weeks. Emily's recovery involved gentle therapy to regain movement and strength. A year later, Emily has a straighter, more stable wrist. She can now hold a crayon firmly and color inside the lines, which fills her with pride. Her parents' journey moved from initial heartbreak and worry to immense relief and joy, watching their daughter gain independence and confidence with her 'stronger helper hand.'
Pediatric Orthopedics for Centralization Of Ulna
Explore experienced pediatric orthopedics who regularly perform centralization of ulna and provide pre- and post-operative care in India.
- 14 Years Experience
- Pediatric Orthopedics
Manipal Hospital Ghaziabad, Ghaziabad
- 23 Years Experience
- Pediatric Orthopedics
Manipal Hospital Old Airport Road, Bangalore
- 8 Years Experience
- Pediatric Orthopedics
Manipal Hospital Mukundapur, Kolkata