Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Jul;49(7):843-851.
doi: 10.1177/17531934231201962. Epub 2023 Sep 25.

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

Anne M L Meesters  1   2 , Nick Assink  1   2 , Frank F A IJpma  1
Affiliations

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

Anne M L Meesters et al. J Hand Surg Eur Vol. 2024 Jul.

Abstract

We performed a systematic review to compare conventional (2-D) versus 3-D-guided corrective osteotomies regarding intraoperative results, patient-reported outcome measures, range of motion, incidence of complications and pain score. PubMed (MEDLINE), Embase and Cochrane CENTRAL were searched, and 53 articles were included, reporting 1257 patients undergoing forearm corrective osteotomies between 2010 and 2022. 3-D-guided surgery resulted in a greater improvement in median Disabilities of the Arm, Shoulder and Hand (DASH) score (28, SD 7 vs. 35, SD 5) and fewer complications (12% vs. 6%). Pain scores and range of motion were similar between 3-D-guided and conventional surgery. 3-D-guided corrective osteotomy surgery appears to improve patient-reported outcomes and reduce complications compared to conventional methods. However, due to the limited number of comparative studies and the heterogeneity of the studies, a large randomized controlled trial is needed to draw definitive conclusions.Level of evidence: III.

Keywords: 3-D; Systematic review; corrective osteotomy; distal radius; forearm; malunion; three-dimensional.

PubMed Disclaimer

Conflict of interest statement

Declaration of conflicting interestsThe authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Preferred Reporting Items for Systematic Reviews flow diagram.
See this image and copyright information in PMC

References

    1. Aibinder WR, Izadpanah A, Elhassan BT. Ulnar shortening versus distal radius corrective osteotomy in the management of ulnar impaction after distal radius malunion. Hand (N Y). 2018, 13: 194–201. - PMC - PubMed
    1. Andreasson I, Kjellby-Wendt G, Fagevik-Olsén M, Aurell Y, Ullman M, Karlsson J. Long-term outcomes of corrective osteotomy for malunited fractures of the distal radius. J Plast Surg Hand Surg. 2020. a, 54: 94–100. - PubMed
    1. Andreasson I, Kjellby-Wendt G, Fagevik Olsén M, Aurell Y, Ullman M, Karlsson J. Functional outcome after corrective osteotomy for malunion of the distal radius: A randomised, controlled, double-blind trial. Int Orthop. 2020. b, 44: 1353–65. - PMC - PubMed
    1. Assink N, Meesters AML, Duis Ket al.. A two-step approach for 3D-guided patient-specific corrective limb osteotomies. J Pers Med. 2022. a, 12: 1458. - PMC - PubMed
    1. Assink N, Reininga IHF, ten Duis Ket al.. Does 3D-assisted surgery of tibial plateau fractures improve surgical and patient outcome? A systematic review of 1074 patients. Eur J Trauma Emerg Surg. 2022. b, 48: 1737–49. - PMC - PubMed

Publication types

LinkOut - more resources