Opening wedge osteotomy for malunion of the distal radius with neuropathy. 13 cases followed for 6 (1-11) years.
13 patients with malunion of the distal radius after Colles' fractures and electroneurographically verified median nerve compression underwent an opening wedge osteotomy without a simultaneous release of the transverse carpal ligament. 12 patients had reduction of the typical night pain with normal or almost normal sensibility within the first 2 months. In 1 patient a release of the carpal ligament was necessary after 6 months. 6 years postoperatively all patients had acceptable wrist function with normal function of the median nerve in all but one.
Kwasny
O
O
University Clinic of Traumatology, University of Vienna, Austria.
Fuchs
M
M
Schabus
R
R
D000328:Adult; D000368:Aged; D003100:Colles' Fracture / Q000150:complications / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D017759:Fractures, Malunited / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008475:Median Nerve; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*