Geometric Analysis of Opening-Closing Wedge Corrective Osteotomy of the Distal Radius after Malunited Fracture

1994 ◽  
pp. 441-449
Author(s):  
Ranko Bilic ◽  
Vilijam Zdravkovic ◽  
Vasilije Nikolic
Keyword(s):  
Distal Radius ◽  
Corrective Osteotomy ◽  
Geometric Analysis ◽  
Closing Wedge

Clinical Outcomes of Corrective Osteotomy for Distal Radius Malunion: A Comparison of Opening and Closing Wedge Techniques

2010 ◽  
Vol 35 (10) ◽  
pp. 15
Author(s):  
Takuro Wada ◽  
Masahiro Tatebe ◽  
Yasuhiro Ozasa ◽  
Osamu Sato ◽  
Hitoshi Hirata
Keyword(s):  
Clinical Outcomes ◽  
Distal Radius ◽  
Corrective Osteotomy ◽  
Closing Wedge ◽  
Distal Radius Malunion ◽  
Opening And Closing ◽  
Radius Malunion

Surgical Technique of Corrective Osteotomy for Malunited Distal Radius Fracture Using the Computer-Simulated Patient Matched Instrument

2016 ◽  
Vol 21 (02) ◽  
pp. 133-139 ◽  
Author(s):  
Tsuyoshi Murase
Keyword(s):  
Bone Graft ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Locking Plate ◽  
Corrective Osteotomy ◽  
Extensor Tendon ◽  
Radius Fracture ◽  
Soft Tissue Release ◽  
Dorsal Plate ◽  
Volar Locking Plate

The conventional corrective osteotomy for malunited distal radius fracture that employs dorsal approach and insertion of a trapezoidal bone graft does not always lead to precise correction or result in a satisfactory surgical outcome. Corrective osteotomy using a volar locking plate has recently become an alternative technique. In addition, the use of patient-matched instrument (PMI) via computed tomography simulation has been developed and is expected to simplify surgical procedures and improve surgical precision. The use of PMI makes it possible to accurately position screw holes prior to the osteotomy and simultaneously perform the correction and place the volar locking plate once the osteotomy is completed. The bone graft does not necessarily require a precise block form, and the problem of the extensor tendon contacting the dorsal plate is avoided. Although PMI placement and soft tissue release technique require some degree of specialized skill, they comprise a very useful surgical procedure. On the other hand, because patients with osteoporosis are at risk of peri-implant fracture, tandem ulnar shortening surgery should be considered to avoid excessive lengthening of the radius.

Simultaneous Radial Closing Wedge and Ulnar Shortening Osteotomy for Distal Radius Malunion

2005 ◽  
Vol 9 (4) ◽  
pp. 188-194 ◽  
Author(s):  
Takuro Wada ◽  
Hideki Tsuji ◽  
Kosuke Iba ◽  
Mitsuhiro Aoki ◽  
Toshihiko Yamashita
Keyword(s):  
Distal Radius ◽  
Closing Wedge ◽  
Ulnar Shortening Osteotomy ◽  
Shortening Osteotomy ◽  
Distal Radius Malunion ◽  
Radius Malunion

scholarly journals Functional Outcomes after Corrective Osteotomy of Symptomatic Distal Radius Malunions in Children

2019 ◽  
Vol 09 (02) ◽  
pp. 136-140
Author(s):  
C. A. Selles ◽  
M. A. M. Mulders ◽  
G. R. Roukema ◽  
C. H. van der Vlies ◽  
B. I. Cleffken ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Distal Radius ◽  
Functional Outcomes ◽  
Wrist Joint ◽  
Corrective Osteotomy ◽  
Cast Immobilization ◽  
Level Of Evidence ◽  
Secondary Displacement ◽  
Score Range

Abstract Background Closed reduction and cast immobilization of displaced distal radius fractures carries the risk of secondary displacement, which could result in a symptomatic malunion. In patients with a symptomatic malunion, a corrective osteotomy can be performed to improve pain and functional impairment of the wrist joint. Objective The aim of this study was to assess the functional outcomes of children who underwent a corrective osteotomy due to a symptomatic malunion of the distal radius. Methods Between 2009 and 2016, all consecutive corrective osteotomies of the distal radius of patients younger than 18 years were reviewed. The primary outcome was functional outcome assessed with the ABILHAND-Kids score. Secondary outcomes were QuickDASH (Quick Disabilities of Arm, Shoulder, and Hand) score, range of motion, complications, and radiological outcomes. Results A total of 13 patients with a median age of 13 years (interquartile range [IQR]: 12.5–16) were included. The median time to follow-up was 31 months (IQR: 26–51). The median ABILHAND-Kids score was 42 (range: 37–42), and the median QuickDASH was 0 (range: 0–39). Range of motion did not differ significantly between the injured and the uninjured sides for all parameters. One patient had a nonunion requiring additional operative treatment. The postoperative radiological parameters showed an improvement of radial inclination, radial height, ulnar variance, dorsal tilt, and dorsal tilt. Conclusion Corrective osteotomy for children is an effective method for treating symptomatic malunions of the distal radius. Level of Evidence This is a Level IV study.

Corrective Osteotomy for Isolated Malunion of the Palmar Lunate Facet in Distal Radius Fractures

2010 ◽  
Vol 35 (11) ◽  
pp. 1779-1786 ◽  
Author(s):  
David S. Ruch ◽  
Walter H. Wray ◽  
Anastasios Papadonikolakis ◽  
Marc J. Richard ◽  
Fraser J. Leversedge ◽  
...  
Keyword(s):  
Distal Radius ◽  
Corrective Osteotomy ◽  
Distal Radius Fractures ◽  
Radius Fractures

Simultaneous radial closing wedge and ulnar shortening osteotomies for distal radius malunion

2004 ◽  
Vol 29 (2) ◽  
pp. 264-272 ◽  
Author(s):  
Takuro Wada ◽  
Satoshi Isogai ◽  
Kohei Kanaya ◽  
Tomohide Tsukahara ◽  
Toshihiko Yamashita
Keyword(s):  
Distal Radius ◽  
Closing Wedge ◽  
Distal Radius Malunion ◽  
Radius Malunion

scholarly journals Patient-specific distal radius locking plate for fixation and accurate 3D positioning in corrective osteotomy

2014 ◽  
Vol 9 (3) ◽  
pp. 179-183 ◽  
Author(s):  
G. J. Streekstra ◽  
S. D. Strackee ◽  
J. G. G. Dobbe ◽  
J. C. Vroemen
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Corrective Osteotomy ◽  
Patient Specific ◽  
3D Positioning
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