Congenital malformations we treat at Paley European Institute: Radial club hand (RCH) underdevelopment.

Techniques for treating underdevelopment of the radius bone

Currently, centralization and radialization are the most common treatments for RCH. However, they are associated with a significant risk of complications, such as recurrence of the deformity (20-50%) and elbow bone growth arrest.

The latest technique for treating underdevelopment of the radius bone: Ulnarization

For this reason, Dr. Paley developed a treatment technique referred to as ULNARIZATION, which is the transfer of the hand to the ulnar side of the elbow bone. To date, no recurrence of deformity or damage to the growth cartilage of the ulnar bone has been observed in patients following ulnarization. However, restoration of muscle balance has been noted.

At the Paley European Institute, we are using another improved ulnarization method, Generation 3, which has been positively received by the international scientific community and published in the journal Children.

- We encourage you to read the publication: https://www.mdpi.com/2227-9067/8/7/562

This method is very often performed at the Paley European Institute - more than 30 children from around the world have already benefited from this treatment method.

- Get in touch with us!

See other entries

June 11, 2026

Skeletal Dysplasias: Types, Symptoms, and Early Diagnosis – What Every Parent Should Know

Is your child growing differently than their peers? Do their limbs seem disproportionately short? Are they already experiencing joint pain in preschool? It could be skeletal dysplasia—a congenital bone development disorder that requires early diagnosis and specialized care. What are skeletal dysplasias? Musculoskeletal dysplasias are a group of congenital developmental disorders of the musculoskeletal system that affect growth and development […]

June 11, 2026

Living with Skeletal Dysplasia: A Comprehensive Approach to Care—From Diagnosis to Adulthood

Skeletal dysplasia isn’t just a single moment in life—it’s a long journey, where each stage requires different kinds of support. What does comprehensive patient care look like, from diagnosis in infancy through to an active adult life? Dysplasia doesn’t end with a diagnosis. For many families, a diagnosis of skeletal dysplasia—whether achondroplasia, pseudoachondroplasia, diastrophic dysplasia, Morquio syndrome […]

June 11, 2026

Guided Growth: A Revolution in Pediatric Orthopedics – What Is the Hemiepiphysiodesis Method?

Limb deformities in children with skeletal dysplasias do not necessarily mean surgery is inevitable. Thanks to the method of guided growth, correction is possible without cutting the bone—all it takes is a small plate and time. What is guided growth? A child’s bones grow in length thanks to growth plates—zones of active cell division located at the ends of long bones. In children with skeletal dysplasias, […]