Corrective osteotomy for malunion of the distal radius

Forty-five patients were reviewed on average 5.7 years after corrective osteotomy for symptomatic distal radius malunion. Restoration of anatomy and function was assessed compared with the contralateral wrist. It was found that osteotomy of the distal radius alone did not completely restore normal a...

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Bibliographic Details
Published inArchives of orthopaedic and trauma surgery Vol. 120; no. 1-2; pp. 23 - 26
Main Authors FLINKKILÄ, T, RAATIKAINEN, T, KAARELA, O, HÄMÄLÄINEN, M
Format Journal Article
LanguageEnglish
Published Berlin Springer 2000
Springer Nature B.V
Subjects
Adult
Aged
Biological and medical sciences
Bone Transplantation
Female
Fractures, Malunited - complications
Fractures, Malunited - physiopathology
Fractures, Malunited - surgery
Humans
Male
Medical sciences
Middle Aged
Orthopedic surgery
Osteoarthritis - physiopathology
Osteotomy
Radius Fractures - surgery
Range of Motion, Articular
Reconstructive Surgical Procedures
Reoperation
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
Wrist Joint - physiopathology
Human
Pseudoarthrosis
Radius
Corrective surgery
Prognosis
Osteotomy
Diseases of the osteoarticular system
Lower extremity
Fracture
Articular function
Trauma
Wrist
Orthopedic surgery
Treatment
Complication
Upper limb
Bone
Technique
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Summary:Forty-five patients were reviewed on average 5.7 years after corrective osteotomy for symptomatic distal radius malunion. Restoration of anatomy and function was assessed compared with the contralateral wrist. It was found that osteotomy of the distal radius alone did not completely restore normal anatomy and relieve symptoms, and in several cases a second operation was needed. Osteoarthritic changes in the radiocarpal and radioulnar joints were common, and they correlated with restriction in range of motion, but not with pain. Range of motion and grip power were reduced compared to the unaffected hand, but only loss of supination and ulnar deviation correlated with an unsatisfactory subjective result. The result was good or satisfactory in 33 of the 45 patients. We conclude that reconstructive procedures in patients with distal radius malunion may not completely restore normal function, and every effort should therefore be made to prevent malunion in the treatment of distal radius fractures.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0936-8051
1434-3916
DOI:10.1007/pl00021237