Minimally invasive osteotomy for distal radius malunion: A preliminary series of 9 cases

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• 作者：C. Taleb^a ; A. Zemirline^b ; F. Lebailly^c ; F. Bodin^d ; S. Facca^a ; S. Gouzou^a ; P. Liverneaux^a ; ^{Philippe.liverneaux@chru-strasbourg.fr" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Distal radius malunion ; Volar plate ; Minimally invasive surgery ; Osteotomy
• 刊名：Orthopaedics & Traumatology: Surgery & Research
• 出版年：2015
• 出版时间：November 2015
• 年：2015
• 卷：101
• 期：7
• 页码：861-865
• 全文大小：1652 K

文摘

The rate of malunion after distal radius fractures is 25% after conservative treatment and 10% after surgery. Their main functional repercussion related to ulno-carpal conflict is loss of wrist motion. We report a retrospective clinical series of minimally invasive osteotomies. The series consisted of 9 cases of minimally invasive osteotomies with volar locking plate fixation. All osteotomies healed. The average pain was 5.3/10 preoperatively and 2.1/10 at last follow-up. The mean Quick DASH was 55.4/100 preoperatively and 24.24/100 at last follow-up. Compared to the opposite side, the average wrist flexion was 84.11%, the average wrist extension was 80.24%, the average pronation was 95.33% and the average supination was 93.9%. With similar results to those of the literature, our short series confirms the feasibility of minimally invasive osteotomy of the distal radius for extra-articular malunion.

Type

Case-series.

Level of evidence

IV.