title: Minimally invasive osteotomy for distal radius malunion: A preliminary series of 9 cases.
abstract: 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.
  
  
  METHODS
  IV.
authors.affiliation: Hand Surgery Department, Strasbourg University Hospitals, FMTS, University of Strasbourg, Icube CNRS 7357, 67403 Illkirch, France.
authors.forename: C
authors.initials: C
authors.lastname: Taleb
authors.affiliation: Hand Surgery Department, Private Hospital Saint-Grégoire, 35760 Rennes, France.
authors.forename: A
authors.initials: A
authors.lastname: Zemirline
authors.affiliation: Hand Surgery Department, Saint-Paul Institute, 97200 Fort-de-France, Martinique.
authors.forename: F
authors.initials: F
authors.lastname: Lebailly
authors.affiliation: Plastic Surgery Department, Strasbourg University Hospitals, FMTS, University of Strasbourg, 67000 Strasbourg, France.
authors.forename: F
authors.initials: F
authors.lastname: Bodin
authors.affiliation: Hand Surgery Department, Strasbourg University Hospitals, FMTS, University of Strasbourg, Icube CNRS 7357, 67403 Illkirch, France.
authors.forename: S
authors.initials: S
authors.lastname: Facca
authors.affiliation: Hand Surgery Department, Strasbourg University Hospitals, FMTS, University of Strasbourg, Icube CNRS 7357, 67403 Illkirch, France.
authors.forename: S
authors.initials: S
authors.lastname: Gouzou
authors.affiliation: Hand Surgery Department, Strasbourg University Hospitals, FMTS, University of Strasbourg, Icube CNRS 7357, 67403 Illkirch, France. Electronic address: Philippe.liverneaux@chru-strasbourg.fr.
authors.forename: P
authors.initials: P
authors.lastname: Liverneaux
mesh_terms: D000328:Adult; D000368:Aged; D001860:Bone Plates; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods; D017759:Fractures, Malunited / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D010027:Osteotomy / Q000379:methods*; D010146:Pain; D010147:Pain Measurement; D011403:Pronation; D011885:Radius Fractures / Q000601:surgery*; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D013484:Supination; D014955:Wrist Joint / Q000601:surgery
keywords: Distal radius malunion; Minimally invasive surgery; Osteotomy; Volar plate