Best Approaches in Distal Radius Fracture Malunions

Evans, Brady T.; Jupiter, Jesse B.

doi:10.1007/s12178-019-09540-y

Cited by 19 publications

(14 citation statements)

References 31 publications

(26 reference statements)

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“…4 Surgical treatment is used to return the articular surface of the radius to original anatomical position and to restore the natural transfer of strength, wrist kinematics, and function of the entire hand. 5…”

Section: Introductionmentioning

confidence: 99%

RETRACTED: Corrective Osteotomy of Malunited Fractures of the Distal Radius Using a Combined Surgical Approach

Izmalkov

Semenkin

Bratiichuk

2020

Hand (New York, N,Y.)

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Background: Malunited distal radius (DR) fractures following conservative treatment range from 6% to 80% of clinical observations. Surgical treatment is used to return the articular surface of the radius to original anatomical position and to restore the natural transfer of strength, wrist kinematics, and function of the entire hand. The aim of this research was to study and analyze the results of corrective osteotomy of malunited distal radius fractures using a combined approach. Methods: From 2008 to 2018, 43 patients with malunited DR fractures who underwent surgery using a combined approach were followed up. Long-term results (1 year after surgery) were studied in detail in 32 patients. Indications for surgery were determined taking into account, first, complaints of severe pain in the wrist during exertion, decreased hand strength, and limited mobility of the wrist. Results: Five patients (15.6%) reported a number of minor complications: intra-articular screw placement (2), incorrect reposition (1), transient neuropathy of the superficial branch of the radial nerve (1), and delayed fracture consolidation (1). In addition, another 5 patients reported the progression of wrist arthritis. Suppurations of the surgical wound and malunited fragments were not reported. Conclusions: During reconstructive interventions, a combined approach with palmar plating provides optimal conditions for corrective osteotomy, adequate reposition and plastic repair of the bone defect, and minimization of the number of complications.

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Section: Introductionmentioning

confidence: 99%

RETRACTED: Corrective Osteotomy of Malunited Fractures of the Distal Radius Using a Combined Surgical Approach

Izmalkov

Semenkin

Bratiichuk

2020

Hand (New York, N,Y.)

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“…In general, 5–8 weeks after fracture is a suitable time when it is still possible to make corrections easily and without a bone graft [6] . After 4–6 months from the onset of the fracture, correction becomes more difficult as callus remodeling has occurred [7] . In this case, all three patients had passed eight weeks after fracture, so correcting all three malunions was difficult.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of intraarticular distal radius malunion with 3D printed guide and arthroscopic assisted intraarticular osteotomy

Satria

Abubakar

Farqani

et al. 2022

International Journal of Surgery Case Reports

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“…Decreased radial inclination can result in a change in the direction of the flexor tendons, leading to a decreased mechanical advantage, and can cause hand weakness. 10 Loss of palmar tilt can lead to incongruity of the distal radial ulnar joint and tightening of the interosseous membrane, resulting in loss of forearm rotation. 11 This type of MDRF can go on to yield 2 types of carpal instability.…”

Section: Biomechanicsmentioning

confidence: 99%

Distal Radius Malunion

Katt

Seigerman

Lutsky

et al. 2020

The Journal of Hand Surgery

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Malunion remains the most common complication of nonsurgical treatment of fractures of the distal radius and represents a common clinical entity. Symptomatic treatment often involves corrective osteotomy. Surgical correction is a challenging problem with unpredictable clinical outcomes. Prevention of malunion of a distal radius fracture is the best course of action. With maintenance of volar cortical contact and the use of volar fixed-angle devices, bone grafting may not be necessary in certain cases of malunion correction. New technologies such as 3dimensional modeling and computer-generated osteotomy guides are likely to have a positive impact on the outcomes of surgical treatment.

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Best Approaches in Distal Radius Fracture Malunions

Cited by 19 publications

References 31 publications

RETRACTED: Corrective Osteotomy of Malunited Fractures of the Distal Radius Using a Combined Surgical Approach

RETRACTED: Corrective Osteotomy of Malunited Fractures of the Distal Radius Using a Combined Surgical Approach

Reconstruction of intraarticular distal radius malunion with 3D printed guide and arthroscopic assisted intraarticular osteotomy

Distal Radius Malunion

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