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ros tio r s e l ala e a s. ilob notch to fix the ulna and achieve stability. This technique also included excision of excess skin on the ulnar side, very frequently leading to wound problems ment of ra towards e combined advocated tion has presenting been ‘‘chil heavy and phalangeal joint transfer (Vilkki, 1998) addressed the were male and 10 were female, with 19 male hands and ten female hands undergoing surgery. Sixteen hands were seen in infancy, with an average age of 7.7 (range s. All 29 e 2 to 4 six hands ands with were 10 ns: seven bilateral radial dysplasia. J Hand Surg Eur Vol OnlineFirst, published on August 11, 2008 as doi:10.1177/17531934080920402005 with a combination of a light-weight mini-fixator/ distractor suitable for infants as well as older children, radialisation and bilobed flaps. through the metacarpals both from medial and lateral aspects transfixing two metacarpals on either side and two (of 2mm each) passed through the middle third ofr 2008 The British Society for Surgery of the Hand. Published by SAGE. All rights reserved.issue of the limb length discrepancy at skeletal maturity, but it is technically demanding and is limited by age at presentation. Consensus, therefore, does not exist on a relatively simple, consistent yet modular and universally applicable method for treating this deformity, applicable at all ages to achieve optimal soft tissue and skeletal growth results. This prospective study presents our results of treat-ment of radial dysplasia in 29 hands between 1998 and Surgical technique The UMEX external fixator–distractor assembly appa