[Correction of malunited distal radius fractures by osteotomy and interposition of iliac crest bone spain in the radio-palmar position. A retrospective study of 42 patients].
The retrospective study included 42 patients who have been treated with a palmar opening wedge osteotomy after malunion of distal radius fracture. 31 patients could be reexamined clinically and radiologically. The corrective osteotomy on the distal radius was done only radiopalmar with an insertion of a corticocancellous iliac graft. Radiological and functional findings as well as the subjective judgement of the patient have been commented pre- and after surgically according to the assessment scheme of Pechlaner and were then compared with the contra lateral wrist. The evaluation of the x-ray pictures showed an improvement from 3.7 to 1.9 points, the functional improvement from 3.7 to 2.6 points. The improvement of the subjective complaints results in a diminution of 3.3 to 2.2 points.
Horas
U
U
Klinik und Poliklinik für Unfallchirurgie, Justus-Liebig-Universität Giessen. Reinhard.Schnettler@chiru.med.uni-giessen.de
Stahl
J P
JP
Pelinkovic
D
D
Kilian
O
O
Schnettler
R
R
D000328:Adult; D016025:Bone Transplantation; D005260:Female; D017759:Fractures, Malunited / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D010027:Osteotomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome; D014954:Wrist Injuries / Q000000981:diagnostic imaging / Q000601:surgery*