title: A less invasive distal osteotomy of the radius for malunited dorsally displaced extra-articular fractures.
abstract: A less invasive corrective osteotomy for symptomatic post-traumatic deformity of the distal radius was done in 12 patients. They were followed up for an average of 3.7 years. The indications for correction were based on the patients' level of activities, pain, functional limitations, loss of grip strength or deformity occurring with an extra-articular rotational malunion of the distal end of the radius. The procedure included a dorsal open wedge osteotomy through a dorsal incision in which the fulcrum of rotation, or hinge, was located at the palmar cortex, and stabilized with an extra- and intramedullary fixed angle device. The bone defect was replaced with autologous morsellized iliac bone graft. The final outcome was graded as very good in eight patients, good in two and fair in two. Level of evidence: IV.
authors.affiliation: Department of Orthopaedic Surgery, Lindenhof Hospital, Bern, Switzerland Margaret_fok@yahoo.com.
authors.forename: M W M
authors.initials: MW
authors.lastname: Fok
authors.affiliation: Department of Orthopaedic Surgery, Lindenhof Hospital, Bern, Switzerland.
authors.forename: D L
authors.initials: DL
authors.lastname: Fernandez
authors.affiliation: Department of Orthopaedic Surgery, Lindenhof Hospital, Bern, Switzerland.
authors.forename: Y L Hernandez
authors.initials: YL
authors.lastname: Rivera
mesh_terms: D000328:Adult; D000368:Aged; D001858:Bone Nails; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D017759:Fractures, Malunited / Q000601:surgery*; D018737:Hand Strength; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D011885:Radius Fractures / Q000601:surgery*; D016059:Range of Motion, Articular; D020127:Recovery of Function; D016896:Treatment Outcome; D055815:Young Adult
keywords: Distal radius fracture; distal radius osteotomy; extra-articular distal radius fractures; less invasive technique; malunion of distal radius