title: Corrective osteotomies of the radius: Grafting or not?
abstract: OBJECTIVE
  To review the current literature regarding corrective osteotomies to provide the best evidence of the rule of bone grafting.
  
  
  METHODS
  Our MEDLINE literature search included 280 studies using the following key words "Malunited distal radius fracture" and 150 studies using key words "Corrective osteotomy of the distal radius". Inclusion criteria were: Malunited distal radial, extra articular fracture, volar locking plate, use of iliac bone graft (cancellous or corticocancellous), non-use of bone graft. Twelve studies met the inclusion criteria.
  
  
  RESULTS
  Seven of the 12 studies considered, described the use of a graft; the remaining five studies didn't use any graft. Type of malunion was dorsal in most of the studies. The healing time was comparable using the graft or not (mean 12.5 wk), ranging from 7.5 to 16 wk. The mean disabilities of the arm, shoulder and hand score improvement was 23 points both in the studies that used the graft and in those not using the graft.
  
  
  CONCLUSIONS
  This review demonstrated that corrective osteotomy of extra-articular malunited fractures of the distal radius treated by volar locking plate does not necessarily require bone graft.
authors.affiliation: Raffaele Mugnai, Luigi Tarallo, Enrico Lancellotti, Francesco Zambianchi, Ettore Di Giovine, Fabio Catani, Orthopedics and Traumatology Department, Modena Policlinic, University of Modena and Reggio Emilia, 41124 Modena, Italy.
authors.forename: Raffaele
authors.initials: R
authors.lastname: Mugnai
authors.affiliation: Raffaele Mugnai, Luigi Tarallo, Enrico Lancellotti, Francesco Zambianchi, Ettore Di Giovine, Fabio Catani, Orthopedics and Traumatology Department, Modena Policlinic, University of Modena and Reggio Emilia, 41124 Modena, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Tarallo
authors.affiliation: Raffaele Mugnai, Luigi Tarallo, Enrico Lancellotti, Francesco Zambianchi, Ettore Di Giovine, Fabio Catani, Orthopedics and Traumatology Department, Modena Policlinic, University of Modena and Reggio Emilia, 41124 Modena, Italy.
authors.forename: Enrico
authors.initials: E
authors.lastname: Lancellotti
authors.affiliation: Raffaele Mugnai, Luigi Tarallo, Enrico Lancellotti, Francesco Zambianchi, Ettore Di Giovine, Fabio Catani, Orthopedics and Traumatology Department, Modena Policlinic, University of Modena and Reggio Emilia, 41124 Modena, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Zambianchi
authors.affiliation: Raffaele Mugnai, Luigi Tarallo, Enrico Lancellotti, Francesco Zambianchi, Ettore Di Giovine, Fabio Catani, Orthopedics and Traumatology Department, Modena Policlinic, University of Modena and Reggio Emilia, 41124 Modena, Italy.
authors.forename: Ettore
authors.initials: E
authors.lastname: Di Giovine
authors.affiliation: Raffaele Mugnai, Luigi Tarallo, Enrico Lancellotti, Francesco Zambianchi, Ettore Di Giovine, Fabio Catani, Orthopedics and Traumatology Department, Modena Policlinic, University of Modena and Reggio Emilia, 41124 Modena, Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Catani
authors.affiliation: Raffaele Mugnai, Luigi Tarallo, Enrico Lancellotti, Francesco Zambianchi, Ettore Di Giovine, Fabio Catani, Orthopedics and Traumatology Department, Modena Policlinic, University of Modena and Reggio Emilia, 41124 Modena, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Adani
keywords: Graft; Malunion; Osteotomy; Radial fracture; Volar plate