Computer-assisted 3D preoperative planning of corrective osteotomy for extra-articular distal radius malunion: A 16-patient case series

2020 ◽  
Vol 39 (4) ◽  
pp. 275-283
Author(s):  
L. Athlani ◽  
A. Chenel ◽  
R. Detammaecker ◽  
Y.-K. De Almeida ◽  
G. Dautel
Keyword(s):  
Distal Radius ◽  
Preoperative Planning ◽  
Corrective Osteotomy ◽  
Case Series ◽  
Computer Assisted ◽  
Patient Case ◽  
Distal Radius Malunion ◽  
Radius Malunion

scholarly journals An image fusion system for corrective osteotomy of distal radius malunion

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Yuichi Yoshii ◽  
Takeshi Ogawa ◽  
Yuki Hara ◽  
Yasukazu Totoki ◽  
Tomoo Ishii
Keyword(s):  
Image Fusion ◽  
Distal Radius ◽  
Preoperative Planning ◽  
Corrective Osteotomy ◽  
Reference Points ◽  
Control Group ◽  
Fusion System ◽  
Distal Radius Malunion ◽  
Preoperative Plan ◽  
Radius Malunion

Abstract Background To provide surgical support for corrective osteotomy, we developed an image fusion system for three-dimensional (3D) preoperative planning and fluoroscopy. To assess the utility of this image fusion system, we evaluated the reproducibility of preoperative planning for corrective osteotomy of dorsally angulated distal radius malunion using the system and compared reproducibility without using the system. Methods Ten wrists from 10 distal radius malunion patients who underwent corrective osteotomy were evaluated. 3D preoperative planning and the image fusion system were used for the image fusion group (n = 5). Only 3D preoperative planning was used for the control group (n = 5). 3D preoperative planning was performed for both groups in order to assess reduction, placement, and the choice of implants. In the image fusion group, the outline of the planned image was displayed on a monitor and overlapped with fluoroscopy images during surgery. Reproducibility was evaluated using preoperative plan and postoperative 3D images. Images were compared with the 3D coordinates of the radial styloid process (1), the volar and dorsal edges of the sigmoid notch (2) (3), and the barycentric coordinates of the three reference points. The reproducibility of the preoperative plan was evaluated by the distance of the coordinates between the plan and postoperative images for the reference points. Results The distances between preoperative planning and postoperative reduction in the image fusion group were 2.1 ± 1.1 mm, 1.8 ± 0.7 mm, 1.9 ± 0.9 mm, and 1.4 ± 0.7 mm for reference points (1), (2), (3), and the barycenter, respectively. The distances between preoperative planning and postoperative reduction in the control group were 3.7 ± 1.0 mm, 2.8 ± 2.0 mm, 1.7 ± 0.8 mm, and 1.8 ± 1.2 mm for reference points (1), (2), (3), and the barycenter, respectively. The difference in reference point (1) was significantly smaller in the image fusion group than in the control group (P < 0.05). Conclusion Corrective osteotomy using an image fusion system will become a new surgical support method for fracture malunion. Trial registration Registered as NCT03764501 at ClinicalTrials.gov.

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

Corrective Osteotomy for Combined Intra- and Extra-articular Distal Radius Malunion

2012 ◽  
Vol 37 (10) ◽  
pp. 2041-2049 ◽  
Author(s):  
Geert A. Buijze ◽  
Karl-Josef Prommersberger ◽  
Juan González del Pino ◽  
Diego L. Fernandez ◽  
Jesse B. Jupiter
Keyword(s):  
Distal Radius ◽  
Corrective Osteotomy ◽  
Distal Radius Malunion ◽  
Radius Malunion

scholarly journals Carpal Tunnel Syndrome Following Corrective Osteotomy for Distal Radius Malunion: A Rare Case Report and Review of the Literature

Hand ◽  
2017 ◽  
Vol 12 (5) ◽  
pp. NP157-NP161
Author(s):  
Cyril Gary ◽  
Ajul Shah ◽  
Jack Kanouzi ◽  
Alyssa R. Golas ◽  
Jordan D. Frey ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Distal Radius ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Corrective Osteotomy ◽  
Surgical Exploration ◽  
Distal Radius Malunion ◽  
Tunnel Syndrome ◽  
Radius Malunion

Background: Although median nerve neuropathy and carpal tunnel syndrome (CTS) are known complications of both untreated and acutely treated distal radius fracture, median neuropathy after correction of distal radius malunion is not commonly reported in hand surgery literature. We describe a patient with severe CTS after corrective osteotomy, open reduction internal fixation (ORIF) with a volar locking plate (VLP), and bone grafting for distal radius malunion. Methods: We report a case of severe acute CTS as a complication of corrective osteotomy with bone grafting for distal radius malunion. Results: The patient was treated with surgical exploration of the median nerve and carpal tunnel release. Conclusion: The authors report a case of acute CTS after ORIF with VLP for a distal radius malunion warranting surgical exploration and carpal tunnel release. Treatment teams must be aware of this potential complication so that the threshold for reoperation is low and irreversible damage to the median nerve is prevented.

scholarly journals Less Invasive Corrective Osteotomy for Dorsally Displaced Distal Radius Malunion

2012 ◽  
Vol 61 (3) ◽  
pp. 410-413
Author(s):  
Yukio Abe ◽  
Koji Yoshida ◽  
Daisuke Nakashima ◽  
Yasuhiro Tominaga
Keyword(s):  
Distal Radius ◽  
Corrective Osteotomy ◽  
Less Invasive ◽  
Distal Radius Malunion ◽  
Radius Malunion

Long-Term Outcomes of Corrective Osteotomy for the Treatment of Distal Radius Malunion

2010 ◽  
Vol 35 (5) ◽  
pp. 370-380 ◽  
Author(s):  
S.A. Lozano-Calderón ◽  
K.M. Brouwer ◽  
J.N. Doornberg ◽  
J. Carel Goslings ◽  
P. Kloen ◽  
...  
Keyword(s):  
Distal Radius ◽  
Corrective Osteotomy ◽  
Long Term Results ◽  
Dash Score ◽  
Wrist Flexion ◽  
Perceived Disability ◽  
Flexion Extension ◽  
Distal Radius Malunion ◽  
Radius Malunion

Corrective osteotomy is an established but challenging treatment for distal radius malunion. Short- and intermediate-term results have been previously published while long-term results have not. The long-term results of 22 patients treated with corrective osteotomy for symptomatic distal radius malunion are presented (range 6—24 years, mean 13 years). All patients completed the DASH questionnaire and the modified Gartland and Werley, and Green and O’Brien scores postoperatively. Wrist alignment was assessed through standard wrist radiographs. Average wrist flexion—extension was 72.5% of the contralateral limb. Grip strength averaged 71%. The DASH score averaged 16 points corresponding to mild perceived disability. Results were categorized as fair on both the Gartland and Werley score (average 9 points) and the modified Green and O’Brien score (average 67 points). Wrist alignment was maintained over time but 13 patients presented mild to moderate symptomatic wrist arthritis. The outcome presented may be a reflection of the use of stricter evaluation instruments or reflect the development of post-traumatic arthritis.

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