Corrective Osteotomy for Volarly Malunited Distal Radius Fracture

Sato, Kazuki; Nakamura, Toshiyasu; Iwamoto, Takuji; Toyama, Yoshiaki; Takayama, Seiji

doi:10.1016/j.jhsa.2008.09.018

Cited by 38 publications

(25 citation statements)

References 25 publications

(40 reference statements)

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“…At a mean 7 years of follow-up wrist ROM improved significantly in all cases and the DASH score decreased significantly from 59 to 23 points. Treatment with transverse opening wedge osteotomy with oblique iliac bone graft of volarly malunited distal radius fractures led to a significative improvement in DASH score as reported by Sato et al [24] in 2009. All patients were analyzed at a mean 25 mo of followup.…”

Section: Resultsmentioning

confidence: 64%

“…The healing time was comparable using the graft or not (mean 12.5 wk), ranging from 7.5 [24] to 16 [25,26] wk. The mean DASH score improvement was 23 points both in the studies describing the use of the graft (range, 11-46) [22][23][24][27][28][29] , and in those not using the graft (range, 13-28) [25,[30][31][32] . Finally, few studies reported postoperative complications [11,22,23,26,29,32] .…”

Section: Resultsmentioning

confidence: 95%

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Corrective osteotomies of the radius: Grafting or not?

Mugnai¹,

Tarallo²,

Lancellotti³

et al. 2016

WJO

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osteotomies to provide the best evidence of the rule of bone grafting. METHODS:Our MEDLINE literature search included 280 studies using the following key words "Malunited distal radius fracture" and 150 studies using key words "Corrective osteotomy of the distal radius". Inclusion criteria were: Malunited distal radial, extra articular fracture, volar locking plate, use of iliac bone graft (cancellous or corticocancellous), non-use of bone graft. Twelve studies met the inclusion criteria. RESULTS:Seven of the 12 studies considered, described the use of a graft; the remaining five studies didn't use any graft. Type of malunion was dorsal in most of the studies. The healing time was comparable using the graft or not (mean 12.5 wk), ranging from 7.5 to 16 wk. The mean disabilities of the arm, shoulder and hand score improvement was 23 points both in the studies that used the graft and in those not using the graft. CONCLUSION:This review demonstrated that corrective osteotomy of extra-articular malunited fractures of the distal radius treated by volar locking plate does not necessarily require bone graft. Core tip: The aim of this study was to review the current literature regarding corrective osteotomies in malunion of the distal radius to provide the best evidence of the rule of bone graft. Author contributions: Mugnai R, Catani F and Adani R designed the research; Lancellotti E and Di Giovine E performed the research; Mugnai R, Tarallo L and Zambianchi F wrote the paper. Conflict-of-interest statement:The authors declare that they have no conflicts of interest concerning this article. SYSTEMATIC REVIEWS 128February 18, 2016|Volume 7|Issue 2|

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Section: Resultsmentioning

confidence: 64%

Section: Resultsmentioning

confidence: 95%

Corrective osteotomies of the radius: Grafting or not?

Mugnai¹,

Tarallo²,

Lancellotti³

et al. 2016

WJO

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“…Restriction of forearm supination is often disabling because compensation cannot be provided via the shoulder. 4 Surgical treatment is, therefore, usually recommended for patients with acute displaced or malunited distal radius fractures with volar angulation. 1e4 However, the magnitude of volar angulation that could cause these findings is unclear.…”

mentioning

confidence: 99%

Effect of Volarly Angulated Distal Radius Fractures on Forearm Rotation and Distal Radioulnar Joint Kinematics

Nishiwaki

Welsh

Gammon

et al. 2015

The Journal of Hand Surgery

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“…[22][23][24][26][27][28]31,34,35,[37][38][39] ►Table 4 summarizes a systematic review of all studies that used bone grafts from iliac crest after open wedge osteotomy and plate fixation. These studies reported an incidence of delayed union between 0-5.6% and nonunion between 0-10.5%.…”

Section: Discussionmentioning

confidence: 99%

“…16,[19][20][21] Corrective osteotomy and plate fixation of the malunited distal radius fracture with the use of bone grafts has been extensively described in the literature. [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39] Only a few studies have evaluated bone healing after corrective osteotomy and plate fixation without bone grafting. [40][41][42][43] None of these studies reported healing problems.…”

mentioning

confidence: 99%

Is Bone Grafting Necessary in the Treatment of Malunited Distal Radius Fractures?

et al. 2015

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Background?Open wedge osteotomy with bone grafting and plate fixation is the standard procedure for the correction of malunited distal radius fractures. Bone grafts are used to increase structural stability and to enhance new bone formation. However, bone grafts are also associated with donor site morbidity, delayed union at bone?graft interfaces, size mismatch between graft and osteotomy defect, and additional operation time. Purpose?The goal of this study was to assess bone healing and secondary fracture displacement in the treatment of malunited distal radius fractures without the use of bone grafting. Methods?Between January 1993 and December 2013, 132 corrective osteotomies and plate fixations without bone grafting were performed for malunited distal radius fractures. The minimum follow-up time was 12 months. Primary study outcomes were time to complete bone healing and secondary fracture displacement. Preoperative and postoperative radiographs during follow-up were compared with each other, as well as with radiographs of the uninjured side. Results?All 132 osteotomies healed. In two cases (1.5%), healing took more than 4 months, but reinterventions were not necessary. No cases of secondary fracture displacement or hardware failure were observed. Significant improvements in all radiographic parameters were shown after corrective osteotomy and plate fixation. Conclusion?This study shows that bone grafts are not required for bone healing and prevention of secondary fracture displacement after corrective osteotomy and plate fixation of malunited distal radius fractures. Level of evidence?Therapeutic, level IV, case series with no comparison group

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Corrective Osteotomy for Volarly Malunited Distal Radius Fracture

Cited by 38 publications

References 25 publications

Corrective osteotomies of the radius: Grafting or not?

Corrective osteotomies of the radius: Grafting or not?

Effect of Volarly Angulated Distal Radius Fractures on Forearm Rotation and Distal Radioulnar Joint Kinematics

Is Bone Grafting Necessary in the Treatment of Malunited Distal Radius Fractures?

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