Intra-articular corrective osteotomy for intra-articular malunion of distal radius fracture using three-dimensional surgical computer simulation and patient-matched instrument

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.

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FLEXOR DIGITORUM PROFUNDUS TENDON RUPTURE ASSOCIATED WITH DISTAL RADIUS FRACTURE MALUNION: A CASE REPORT

Hand Surgery ◽

10.1142/s0218810409004190 ◽

2009 ◽

Vol 14 (01) ◽

pp. 35-38 ◽

Cited By ~ 6

Author(s):

Takayuki Ishii ◽

Masayoshi Ikeda ◽

Yuka Kobayashi ◽

Joji Mochida ◽

Yoshinori Oka

Keyword(s):

Distal Radius Fracture ◽

Distal Radius ◽

Tendon Rupture ◽

Flexor Tendon ◽

Corrective Osteotomy ◽

Tendon Graft ◽

Radius Fracture ◽

Flexor Digitorum Profundus ◽

Flexor Tendon Rupture ◽

Flexor Digitorum

We present a case of subcutaneous flexor tendon rupture of the index finger following malunion of a distal radius fracture. The cause of the tendon rupture was mechanical attrition due to a bony prominence at the palmar joint rim in the distal radius due to malunion. Corrective osteotomy and the Sauvé-Kapandji procedure were carried out for the wrist pain and forearm rotation disability and a tendon graft was carried out for the flexor tendon rupture. Recovery was satisfactory.

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One-stage Corrective Osteotomy for Malunion of Distal Radius Fracture using an Iliac Bone Graft

The Journal of the Korean Orthopaedic Association ◽

10.4055/jkoa.2001.36.3.191 ◽

2001 ◽

Vol 36 (3) ◽

pp. 191

Author(s):

Moon Sang Chung ◽

Goo Hyun Baek ◽

Young Ho Lee ◽

Chung Hoon Lee ◽

Whan Seong Cho

Keyword(s):

Bone Graft ◽

Distal Radius Fracture ◽

Distal Radius ◽

Corrective Osteotomy ◽

Iliac Bone ◽

Radius Fracture ◽

One Stage ◽

Iliac Bone Graft

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Extra-articular Corrective Osteotomy With Bone Grafting to Achieve Lengthening and Regain Alignment for Distal Radius Fracture Malunion

Techniques in Hand and Upper Extremity Surgery ◽

10.1097/bth.0000000000000252 ◽

2019 ◽

Vol 23 (4) ◽

pp. 186-190 ◽

Cited By ~ 1

Author(s):

Hui-Kuang Huang ◽

Shiuan-Hau Hsu ◽

Feng-Chi Hsieh ◽

Kai-Hui Chang ◽

Heuy-Ling Chu ◽

...

Keyword(s):

Distal Radius Fracture ◽

Distal Radius ◽

Bone Grafting ◽

Corrective Osteotomy ◽

Radius Fracture

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Corrective Osteotomy with Autogenous Bone Graft with Callus after Malunion of Distal Radius Fracture

The Journal of Hand Surgery (Asian-Pacific Volume) ◽

10.1142/s2424835518720323 ◽

2018 ◽

Vol 23 (04) ◽

pp. 571-576

Author(s):

Kenji Goto ◽

Kiyohito Naito ◽

Yoichi Sugiyama ◽

Mayuko Kinoshita ◽

Nana Nagura ◽

...

Keyword(s):

Bone Graft ◽

Distal Radius Fracture ◽

Distal Radius ◽

Wrist Joint ◽

Corrective Osteotomy ◽

Postoperative Outcome ◽

Fracture Site ◽

Radius Fracture ◽

Autogenous Bone Graft ◽

Autogenous Bone

Corrective osteotomy with callus filling at fracture site for malunion after distal radius fracture is a rare technique, but it achieved a favorable postoperative outcome. The patient, 66-year-old female, visited our hospital 4 months after distal radius fracture. Corrective osteotomy of the distal radius was planned aiming at improving the wrist joint function, and was performed using a volar locking plate, then the bone defect was filled with callus as autogenous bone grafting. At 12 months after surgery, left wrist joint pain and the range of motion have improved, and the Mayo wrist score was excellent. To our knowledge, there has been no study on the treatment of bone defects by filling with callus. Since favorable bone fusion was achieved with callus, this treatment method may overcome the disadvantages of autogenous bone graft, such as pain at the donor region.

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The biomechanical analysis of three-dimensional distal radius fracture model with different fixed splints

Technology and Health Care ◽

10.3233/thc-171050 ◽

2018 ◽

Vol 26 (2) ◽

pp. 329-341

Author(s):

Zhen Hua ◽

Jian-Wei Wang ◽

Zhen-Fei Lu ◽

Jian-Wei Ma ◽

Heng Yin

Keyword(s):

Distal Radius Fracture ◽

Distal Radius ◽

Three Dimensional ◽

Biomechanical Analysis ◽

Fracture Model ◽

Radius Fracture

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CORRECTIVE OSTEOTOMY FOR INTRA-ARTICULAR MALUNION OF THE SIGMOID NOTCH OF THE DISTAL PART OF THE RADIUS: A CASE REPORT

Hand Surgery ◽

10.1142/s0218810408003839 ◽

2008 ◽

Vol 13 (02) ◽

pp. 93-97 ◽

Cited By ~ 2

Author(s):

Chun-Ying Cheng ◽

Chung-Hsun Chang

Keyword(s):

Distal Radius Fracture ◽

Distal Radius ◽

Distal Part ◽

Corrective Osteotomy ◽

Distal Radioulnar Joint ◽

Radius Fracture ◽

Radioulnar Joint ◽

Sigmoid Notch ◽

Radiocarpal Joint ◽

Joint Incongruity

Joint incongruity at radiocarpal joint is a common complication of the distal radius fracture, and has received much attention and study. However, the problem and outcome of treatment of intra-articular incongruity at the sigmoid notch after distal radius fracture is rarely reported. We describe a patient with deformity of the distal radioulnar joint, and impairment of supination after distal radius fracture. The evaluation of the distal radioulnar joint revealed the absence of degenerative arthritis and malunion of the sigmoid notch of the distal radius with a prominent volar lip limiting supination. We present a method of corrective osteotomy for the malunited sigmoid notch of the distal radius, to correct the incongruity of the distal radioulnar joint and restore supination.

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