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Review
. 2017 Aug;12(2):77-89.
doi: 10.1007/s11751-017-0284-8. Epub 2017 Apr 25.

Three-dimensional virtual planning of corrective osteotomies of distal radius malunions: a systematic review and meta-analysis

R J O de Muinck Keizer  1 , K M Lechner  2 , M A M Mulders  2 , N W L Schep  3 , D Eygendaal  4 , J C Goslings  2
Affiliations
Review

Three-dimensional virtual planning of corrective osteotomies of distal radius malunions: a systematic review and meta-analysis

R J O de Muinck Keizer et al. Strategies Trauma Limb Reconstr. 2017 Aug.

Abstract

The purpose of this study was to summarize and evaluate results of three-dimensional (3D-) planned corrective osteotomies of malunited distal radius fractures. 3D-planning techniques provide the possibility to address 3D-deformity that conventional planning methods might not address. We systematically searched PubMed, EMBASE and the Cochrane library for studies that performed a 3D-planned corrective osteotomy on patients with a malunited distal radius fracture. Fifteen studies with a total of 68 patients were included in the analysis. In 96% of cases, the preoperatively present palmar tilt, radial inclination and ulnar variance showed statistically significant improvement postoperatively with restoration to within 5° or 2 mm of their normal values. Mean flexion-extension, pro-supination and grip strength showed statistically significant improvement (p < 0.05). Complications were reported in 11 out of 68 patients (16%). With the current advances in 3D printing technology, 3D-planned corrective osteotomies seem a promising technique in the treatment of complex distal radius malunions. Level of evidence IV Systematic review of case series, Level IV.

Keywords: 3-Dimensional; Corrective osteotomy; Distal radius; Malunion.

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Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.

Figures

Fig. 1
Fig. 1
PRISMA flowchart of literature search
See this image and copyright information in PMC

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