title: Corrective osteotomy after damage of the distal radial physis in children:  surgical technique and results.
abstract: Distal radial physis closure in children can develop severe wrist deformity (radial shortening). These patients can be treated using a single-step surgery. It was carried out in the form of a corrective osteotomy adopting the volar approach, with fixed-angle volar plate fixation and bone grafting from the iliac crest. There have been few descriptions of the use of this technique in the management of deformities related to early epiphysiodesis in distal radius. The use of fixation systems for the radius, using fixed-angle locking plates, allows radius lengthening adjusted to demand after osteotomy, using the combination of the plate and distal locking pins as spacer-with custom-sized tricortical iliac crest grafting within the defect. The freeing of soft parts such as the dorsal periosteum and brachioradialis muscle tendon allows adequate bone lengthening in a single-surgical step.
authors: Instituto da Mão, Complexo Hospitalar Santa Casa and Hospital Mãe de Deus §Complexo Hospitalar Santa Casa, Porto Alegre, RS, Brazil. ricardokaempf@gmail.com
authors: Ricardo
authors: R
authors: Kaempf de Oliveira
authors: Pedro J Delgado
authors: PJ
authors: Serrano
authors: Alejandro
authors: A
authors: Badia
authors: Marco Tonding
authors: MT
authors: Ferreira
mesh_terms: D000293:Adolescent; D001852:Bone Lengthening / Q000379:methods*; D001860:Bone Plates; D002648:Child; D005260:Female; D006132:Growth Plate / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008297:Male; D010027:Osteotomy / Q000379:methods*; D011884:Radius / Q000002:abnormalities*; D011885:Radius Fractures / Q000601:surgery*; D000072042:Salter-Harris Fractures; D013524:Surgical Flaps