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. 2014 Apr;9(1):53-8.
doi: 10.1007/s11751-014-0190-2. Epub 2014 Mar 8.

Correction osteotomy of distal radius malunion stabilised with dorsal locking plates without grafting

D Tiren  1 , D I Vos
Affiliations

Correction osteotomy of distal radius malunion stabilised with dorsal locking plates without grafting

D Tiren et al. Strategies Trauma Limb Reconstr. 2014 Apr.

Abstract

The purpose of this study was to evaluate the results of our correction osteotomies of distal radial malunions without a bone graft. Eleven consecutive patients (mean age 52 years, range 18-71) were treated. A dorsal approach was utilised to perform an opening-wedge osteotomy which then was stabilised with two dorsal columnar plates without filling the osteotomy gap. All patients went on to radiographic union with a filling of the osteotomy gap within a mean period of 3 months (range 2-6 months). All patients had satisfactory results in terms of function and pain. Correction osteotomy and stabilisation with bicolumnar locked plate fixation without a bone graft provides sufficient stability to allow the highly vascularised metaphysis to heal. In patients without risk factors predisposing to non-union, this procedure is safe and feasible.

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Figures

Fig. 1
Fig. 1
Correction of the deformity and healing of the osteotomy gap
Fig. 2
Fig. 2
Correlation between the correction angle and the fill-up time
See this image and copyright information in PMC

References

    1. Fernandez DL. Osteotomy for extra-articular malunion of the distal radius. In: Slutsky DJ, Osterman L, editors. Fractures and injuries of the distal radius and carpus: the cutting edge. Philadelphia: Saunders; 2008. pp. 529–541.
    1. Vroemen JC, Strackee SD (2012) Three-dimensional computer-assisted corrective osteotomy techniques for the malunited distal radius. In: Waddell JP (ed) The role of osteotomy in the correction of congenital and acquired disorders of the skeleton, pp 115–128. www.Intechopen.com
    1. Prommersberger KJ, Pillukat T, Mühldorfer M, van Schoonhoven J. Malunion of the distal radius. Arch Orthop Trauma Surg. 2012;132(5):693–702. doi: 10.1007/s00402-012-1466-y. - DOI - PubMed
    1. Fernandez DL. Correction of post-traumatic wrist deformity in adults by osteotomy, bone-grafting, and internal fixation. J Bone Joint Surg. 1982;64(8):1164–1178. - PubMed
    1. Jupiter JB, Fernandez DL. Complications following distal radial fracture. J Bone Joint Surg. 2001;83(8):1244–1265.

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