Performed by Dr. Venkat Ram Thyalapalli at Dr Venkatram Thyalapalli
Radial clubhand correction addresses a congenital condition where the radius bone in the forearm is shortened or absent, causing the hand to deviate toward the thumb side. The procedure aims to improve the alignment, function, and appearance of the hand and wrist. Dr Venkatram Thyalapalli evaluates each child individually to determine the most appropriate surgical approach based on the severity of the condition.
We believe in honest, upfront disclosure so you can make an informed decision.
A step-by-step look at what happens during this procedure.
The child is given general anesthesia so they remain asleep and pain-free throughout the procedure.
Tight tendons, muscles, and ligaments on the thumb side of the wrist are carefully released to allow the hand to be repositioned.
The wrist and hand bones are repositioned to improve alignment. Depending on the severity, bone grafts or tendon transfers may be performed.
The corrected position is held in place using pins, wires, or an external fixator device to allow healing in the proper alignment.
The surgical incisions are closed with sutures, and a cast or splint is applied to protect the area during initial healing.
A structured, patient-first approach from first consultation to full recovery.
Dr Venkatram Thyalapalli conducts a detailed examination and reviews imaging studies to understand the unique anatomy of each child's hand and forearm, planning the most suitable surgical technique.
The procedure is performed with careful attention to preserving blood supply and nerve function while achieving the best possible alignment and function.
After surgery, the child is monitored closely and provided with pain management. Instructions for cast care and activity restrictions are given to the family.
Ongoing follow-up includes monitoring healing, removing fixation devices when appropriate, and coordinating hand therapy to maximize function and prevent stiffness.
What to expect at each stage of your recovery journey.
The first few days involve hospital monitoring, pain control, and keeping the arm elevated. The child will have a cast or external fixator in place and will need assistance with daily activities.
Over the following weeks, the bones and soft tissues begin to heal in their new position. Regular check-ups ensure proper healing, and adjustments to the cast or fixator may be made.
Once the cast is removed, hand therapy begins to restore movement, strength, and function. This phase can last several months and requires consistent exercises and follow-up.
The procedure aims to straighten the wrist and improve the overall alignment of the hand, making it easier to use for daily activities.
Many children gain better grip strength and the ability to perform tasks that were difficult before surgery, though the degree of improvement depends on the severity of the original condition.
Because radial clubhand is a congenital skeletal difference, some children may need additional procedures as they grow, and perfect alignment may not always be achievable.
While the procedure can improve the appearance of the hand and wrist, the focus is primarily on function, and some visible differences may remain.
The right choice depends on your diagnosis, risks and circumstances — discussed with you at your consultation.
For very mild cases, regular monitoring with hand therapy and adaptive techniques may be considered, particularly in young infants. Surgery may be deferred or avoided if function is adequate.
Different surgical techniques exist depending on the anatomy. Centralization realigns the hand over the ulna bone, while radialization preserves certain structures differently. The choice depends on individual anatomy and functional goals.
In some cases, gradual correction using external fixators and distraction may be used instead of, or before, definitive surgery. This approach is selected based on age, bone quality, and soft tissue condition.
Let's clear up some of the most common myths about radial clubhand correction.
Get a personalised assessment from an experienced specialist. Understand your options, ask your questions, and decide with confidence.
Consult Venkat Ram Thyalapalli for Radial Clubhand Correction at any of these 2 centres — pick the one nearest you.
