A less invasive distal osteotomy of the radius for malunited dorsally displaced extra-articular fractures

Abstract

A less invasive corrective osteotomy for symptomatic post-traumatic deformity of the distal radius was done in 12 patients. They were followed up for an average of 3.7 years. The indications for correction were based on the patients' level of activities, pain, functional limitations, loss of grip strength or deformity occurring with an extra-articular rotational malunion of the distal end of the radius. The procedure included a dorsal open wedge osteotomy through a dorsal incision in which the fulcrum of rotation, or hinge, was located at the palmar cortex, and stabilized with an extra- and intramedullary fixed angle device. The bone defect was replaced with autologous morsellized iliac bone graft. The final outcome was graded as very good in eight patients, good in two and fair in two. Level of evidence: IV.

A novel surgical approach for treating distal radial extraarticular malunion: Oblique osteotomy with buttress plate stabilization

“…At the latest follow-up, it became an average of 2.0 (À3 to 6 , p ¼ 0.10). Preoperatively, the radial inclination was an average of 14.1 (range, [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22]. At the latest follow-up, it became an average of 19.8 (range, 15-27 , p < 0.001).…”

“…The success rates may be as high as 83%. 11 An acceptable alignment of distal radial extraarticular fractures has been roughly reported. 4,5,12,13 In principle, the collapsed radius requires to be lengthened.…”

Current Trends in the Management of Distal Radius Fractures

“…Fok et al 26 outlined a less invasive distal osteotomy of the radius for symptomatic patients with malunited dorsally displaced extra-articular distal radius fractures. Through a dorsal incision, a dorsal open wedge osteotomy is performed over a hinge located at the palmar cortex and subsequently stabilized with a single fixed-angle dorsal nail plate placed in both extra-and intramedullary spaces.…”

Die in Fehlstellung verheilte distale Radiusfraktur – extraartikuläre Korrekturen ohne Knochentransplantation

“…Trotz großer Fortschritte bei der Versorgung distaler Radiusfrakturen werden immer noch Ausheilungen in Fehlstellung beobachtet. Wie die steigende Zahl von Publikationen zu diesem Thema zeigt, werden Korrekturen extraartikulärer Fehlstellung entsprechend weiterhin häufig durchgeführt [1][2][3][4][5][6][7][8].…”