Die in Fehlstellung verheilte distale Radiusfraktur – extraartikuläre Korrekturen ohne Knochentransplantation

Abstract

After open wedge osteotomy of the distal radius, remodeling may occur without filling the defect by a bone graft. Since bony healing is not predictable and may require more than 12 months in single cases, we will continue bone grafting in our own practice.

Functional outcome of 2-D- and 3-D-guided corrective forearm osteotomies: a systematic review

“…In total, 53 studies were included in this review (Figure 1) (Aibinder et al., 2018; Andreasson et al., 2020a, 2020b; Athlani et al., 2020; Bauer et al., 2017; Bhatia et al., 2022; Bilgin and Armangil, 2012; Buijze et al., 2012, 2018; Capo et al., 2010; Cha et al., 2021; Delclaux et al., 2016; Dobbe et al., 2021; Elmi et al., 2014; Estermann et al., 2022; Fok et al., 2015; Gaspar et al., 2017; Gradl et al., 2013; Haghverdian et al., 2019; Hsieh et al., 2010; Huang et al., 2019; Izmalkov et al., 2022; Kiliç et al., 2011; Konul and Krimmer, 2012; Lee et al., 2022; Lozano-Calderón et al., 2010; Mahmoud et al., 2012; Michielsen et al., 2018; Miyake et al., 2011, 2012; Mulders et al., 2017; Oka et al., 2018, 2019; de Oliveira et al., 2012; Opel et al., 2014; Ozasa et al., 2013; Pace et al., 2021; Park et al., 2012; Pecache and Calleja, 2020; Pillukat et al., 2013, 2014, 2018; Robinson et al., 2022; Roner et al., 2020; Rothenfluh et al., 2013; Schurko et al., 2020; Shintani et al., 2018; Singh et al., 2022; Stirling et al., 2020; Tarallo et al., 2014; Tiren and Vos, 2014; …”

Corrective osteotomy of the distal radius with palmar locking plate osteosynthesis without bone grafting and without cortical contact

“…(2011) recommended cortical contact in corrective osteotomies without the use of a graft to achieve adequate stability and bone healing. Other authors describe only case reports of radius corrections without cortical contact, and they did not analyse their observations (Mahmoud et al., 2012; Pillukat et al., 2018).…”

“…However, ulnar variance ranged up to 5 mm. The study of Pillukat et al. (2018) reported two atraumatic secondary dislocations in 19 patients.…”

“…(2021) reported four nonunions in 32 patients. Pillukat et al. (2018) had three nonunions in 19 patients without bone graft, and Disseldorp et al.…”

“…In recent years, several studies have evaluated corrective osteotomy of the distal radius and plate fixation without bone grafting (Disseldorp et al., 2015; Mahmoud et al., 2012; Opel et al., 2014; Ozer et al., 2011; Pillukat et al., 2018; Tarallo et al., 2014; Tarng et al., 2011; Tiren and Vos, 2014). All of these studies were performed with palmar and/or dorsal locking plates, and they all recommended cortical contact on at least one side.…”