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Archives of Orthopaedic and Trauma Surgery

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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

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.

Haase SC, Chung KC (2012) Management of malunions of the distal radius. Hand Clin 28:207–216CrossRefPubMed

Konul E, Krimmer H (2012) Open wedge corrective osteotomy of malunited distal radius fractures through a palmar approach: a retrospective analysis. Der Unfallchirurg 115:623–628CrossRefPubMed

Krimmer H, Unglaub F, Langer MF et al (2016) The distal radial decompression osteotomy for ulnar impingement syndrome. Arch Orthop Trauma Surg 136:143–148CrossRefPubMed

Prommersberger KJ, J VANS, Lanz UB (2000) A radiovolar approach to dorsal malunions of the distal radius. Tech Hand Upper Extremity Surg 4:236–243

Prommersberger KJ, Van Schoonhoven J, Lanz UB (2002) Outcome after corrective osteotomy for malunited fractures of the distal end of the radius. J Hand Surg 27:55–60CrossRef

Tarallo L, Mugnai R, Adani R et al (2014) Malunited extra-articular distal radius fractures: corrective osteotomies using volar locking plate. J Orthopaed Traumatol 15:285–290CrossRef

Mugnai R, Tarallo L, Lancellotti E et al (2016) Corrective osteotomies of the radius: grafting or not? World J Orthoped 7:128–135CrossRef

Del Pinal F, Clune J (2017) Arthroscopic management of intra-articular malunion in fractures of the distal radius. Hand Clin 33:669–675CrossRefPubMed

Gauger EM, Casnovsky LL, Gauger EJ et al (2017) Acquired upper extremity growth arrest. Orthopedics 40:e95–e103CrossRefPubMed

10.

Gundes H, Buluc L, Sahin M et al (2011) Deformity correction by Ilizarov distraction osteogenesis after distal radius physeal arrest. Acta Orthopaed Traumatol Turcica 45:406–411CrossRef

11.

Honigmann P, Thieringer F, Steiger R et al (2016) A simple 3-dimensional printed aid for a corrective palmar opening wedge osteotomy of the distal radius. J Hand Surg 41:464–469CrossRef

12.

Shintani K, Kazuki K, Yoneda M et al (2018) Computer-assisted three-dimensional corrective osteotomy for malunited fractures of the distal radius using prefabricated bone graft substitute. J Hand Surg Asian-Pac 23:479–486CrossRef

13.

Hintringer W, Rosenauer R, Pezzei C et al (2020) Biomechanical Considerations on a CT based treatment-oriented classification in radius fractures. Arch Orthop Trauma Surg. https://doi.org/10.1007/s00402-020-03405-7 CrossRefPubMedPubMedCentral

14.

Leixnering M, Rosenauer R, Pezzei C et al (2020) Indications, surgical approach, reduction and stabilization techniques of distal radius fractures. Arch Orthop Trauma Surg. https://doi.org/10.1007/s00402-020-03365-y CrossRefPubMedPubMedCentral

15.

Terzis A, Koehler S, Sebald J, Sauerbier M (2020) Ulnar shortening osteotomy as a treatment of symptomatic ulnar impaction syndrome after malunited distal radius fractures. Arch Orthop Trauma Surg. https://doi.org/10.1007/s00402-020-03374-x CrossRefPubMed

16.

Kastenberger T, Kaiser P, Schwendinger P et al (2020) Arthroscopic assisted treatment of distal radius fractures and concomitant injuries. Arch Orthop Trauma Surg. https://doi.org/10.1007/s00402-020-03373-y CrossRefPubMedPubMedCentral

17.

Suda AJ, Schamberger CT, Viergutz T (2019) Donor site complications following anterior iliac crest bone graft for treatment of distal radius fractures. Arch Orthop Trauma Surg 139(3):423–428. https://doi.org/10.1007/s00402-018-3098-3(Epub 2018 Dec 12)CrossRefPubMed

18.

Quadlbauer S, Pezzei C, Jurkowitsch J, Rosenauer R, Pichler A, Schättin S, Hausner T (2018) Leixnering M (2018) Early complications and radiological outcome after distal radius fractures stabilized by volar angular stable locking plate. Arch Orthop Trauma Surg 138(12):1773–1782. https://doi.org/10.1007/s00402-018-3051-5 (Epub 2018 Oct 19)CrossRefPubMed

19.

Lameijer CM, Ten Duis HJ, Vroling D, Hartlief MT, El Moumni M (2018) van der Sluis CK (2018) Prevalence of posttraumatic arthritis following distal radius fractures in non-osteoporotic patients and the association with radiological measurements, clinician and patient-reported outcomes. Arch Orthop Trauma Surg 138(12):1699–1712. https://doi.org/10.1007/s00402-018-3046-2 (Epub 2018 Oct 13)CrossRefPubMedPubMedCentral

20.

Pillukat T, Fuhrmann R, Windolf J, van Schoonhoven J (2016) The volar locking plate for extension fractures of the distal radius. Oper Orthop Traumatol 28(1):47–63. https://doi.org/10.1007/s00064-015-0433-5 (Epub 2015 Dec 17)CrossRefPubMed

21.

Keuchel T, Quadlbauer S, Jurkowitsch J et al (2020) Salvage procedure after malunited distal radius fractures and management of pain and stiffness. Arch Orthop Trauma Surg. https://doi.org/10.1007/s00402-020-03369-8 CrossRefPubMedPubMedCentral

22.

Erhart S, Toth S, Kaiser P, Kastenberger T, Deml C (2018) Arora R (2018) Comparison of volarly and dorsally displaced distal radius fracture treated by volar locking plate fixation. Arch Orthop Trauma Surg 138(6):879–885. https://doi.org/10.1007/s00402-018-2925-x (Epub 2018 Apr 25)CrossRefPubMed

Title: Corrective osteotomy after malunited distal radius fractures
Authors: Hermann Krimmer
Rene Schandl
Roman Wolters
Publication date: 01-05-2020
Publisher: Springer Berlin Heidelberg
Keywords: Distal Radius Fracture
Complex Regional Pain Syndrome
Ulnar Impaction Syndrome
Extensor Tendon
Complex Regional Pain Syndrome
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 5/2020
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-020-03370-1

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Corrective osteotomy after malunited distal radius fractures

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Ulnar shortening osteotomy as a treatment of symptomatic ulnar impaction syndrome after malunited distal radius fractures

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Complications after operatively treated distal radius fractures

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Indications, surgical approach, reduction, and stabilization techniques of distal radius fractures

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