Published in:
01-05-2020 | Distal Radius Fracture | Handsurgery
Corrective osteotomy after malunited distal radius fractures
Authors:
Hermann Krimmer, Rene Schandl, Roman Wolters
Published in:
Archives of Orthopaedic and Trauma Surgery
|
Issue 5/2020
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Abstract
Posttraumatic malunion or secondary dislocation can cause wrist joint incongruency. Uncorrected malalignment increases the risk of secondary degenerative changes and chronic pain. Therefore, early correction using the available fixed-angle devices, cancellous bone grafting only becomes necessary in larger bony defects. Premounting the plate through a palmar approach with regard to the desired correction angles leads to predictable results by precise correction. In case of posttraumatic growth arrest with larger discrepancy of the radius and the ulna, a two-staged procedure is advisable.