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Erschienen in: Archives of Orthopaedic and Trauma Surgery 5/2020

19.03.2020 | Handsurgery

Corrective osteotomy after malunited distal radius fractures

verfasst von: Hermann Krimmer, Rene Schandl, Roman Wolters

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 5/2020

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Abstract

Posttraumatic malunion or secondary dislocation can cause wrist joint incongruency. Uncorrected malalignment increases the risk of secondary degenerative changes and chronic pain. Therefore, early correction using the available fixed-angle devices, cancellous bone grafting only becomes necessary in larger bony defects. Premounting the plate through a palmar approach with regard to the desired correction angles leads to predictable results by precise correction. In case of posttraumatic growth arrest with larger discrepancy of the radius and the ulna, a two-staged procedure is advisable.
Literatur
1.
Zurück zum Zitat Haase SC, Chung KC (2012) Management of malunions of the distal radius. Hand Clin 28:207–216CrossRefPubMed Haase SC, Chung KC (2012) Management of malunions of the distal radius. Hand Clin 28:207–216CrossRefPubMed
2.
Zurück zum Zitat Konul E, Krimmer H (2012) Open wedge corrective osteotomy of malunited distal radius fractures through a palmar approach: a retrospective analysis. Der Unfallchirurg 115:623–628CrossRefPubMed Konul E, Krimmer H (2012) Open wedge corrective osteotomy of malunited distal radius fractures through a palmar approach: a retrospective analysis. Der Unfallchirurg 115:623–628CrossRefPubMed
3.
Zurück zum Zitat Krimmer H, Unglaub F, Langer MF et al (2016) The distal radial decompression osteotomy for ulnar impingement syndrome. Arch Orthop Trauma Surg 136:143–148CrossRefPubMed Krimmer H, Unglaub F, Langer MF et al (2016) The distal radial decompression osteotomy for ulnar impingement syndrome. Arch Orthop Trauma Surg 136:143–148CrossRefPubMed
4.
Zurück zum Zitat Prommersberger KJ, J VANS, Lanz UB (2000) A radiovolar approach to dorsal malunions of the distal radius. Tech Hand Upper Extremity Surg 4:236–243 Prommersberger KJ, J VANS, Lanz UB (2000) A radiovolar approach to dorsal malunions of the distal radius. Tech Hand Upper Extremity Surg 4:236–243
5.
Zurück zum Zitat Prommersberger KJ, Van Schoonhoven J, Lanz UB (2002) Outcome after corrective osteotomy for malunited fractures of the distal end of the radius. J Hand Surg 27:55–60CrossRef Prommersberger KJ, Van Schoonhoven J, Lanz UB (2002) Outcome after corrective osteotomy for malunited fractures of the distal end of the radius. J Hand Surg 27:55–60CrossRef
6.
Zurück zum Zitat Tarallo L, Mugnai R, Adani R et al (2014) Malunited extra-articular distal radius fractures: corrective osteotomies using volar locking plate. J Orthopaed Traumatol 15:285–290CrossRef Tarallo L, Mugnai R, Adani R et al (2014) Malunited extra-articular distal radius fractures: corrective osteotomies using volar locking plate. J Orthopaed Traumatol 15:285–290CrossRef
7.
Zurück zum Zitat Mugnai R, Tarallo L, Lancellotti E et al (2016) Corrective osteotomies of the radius: grafting or not? World J Orthoped 7:128–135CrossRef Mugnai R, Tarallo L, Lancellotti E et al (2016) Corrective osteotomies of the radius: grafting or not? World J Orthoped 7:128–135CrossRef
8.
Zurück zum Zitat Del Pinal F, Clune J (2017) Arthroscopic management of intra-articular malunion in fractures of the distal radius. Hand Clin 33:669–675CrossRefPubMed Del Pinal F, Clune J (2017) Arthroscopic management of intra-articular malunion in fractures of the distal radius. Hand Clin 33:669–675CrossRefPubMed
9.
Zurück zum Zitat Gauger EM, Casnovsky LL, Gauger EJ et al (2017) Acquired upper extremity growth arrest. Orthopedics 40:e95–e103CrossRefPubMed Gauger EM, Casnovsky LL, Gauger EJ et al (2017) Acquired upper extremity growth arrest. Orthopedics 40:e95–e103CrossRefPubMed
10.
Zurück zum Zitat Gundes H, Buluc L, Sahin M et al (2011) Deformity correction by Ilizarov distraction osteogenesis after distal radius physeal arrest. Acta Orthopaed Traumatol Turcica 45:406–411CrossRef Gundes H, Buluc L, Sahin M et al (2011) Deformity correction by Ilizarov distraction osteogenesis after distal radius physeal arrest. Acta Orthopaed Traumatol Turcica 45:406–411CrossRef
11.
Zurück zum Zitat Honigmann P, Thieringer F, Steiger R et al (2016) A simple 3-dimensional printed aid for a corrective palmar opening wedge osteotomy of the distal radius. J Hand Surg 41:464–469CrossRef Honigmann P, Thieringer F, Steiger R et al (2016) A simple 3-dimensional printed aid for a corrective palmar opening wedge osteotomy of the distal radius. J Hand Surg 41:464–469CrossRef
12.
Zurück zum Zitat Shintani K, Kazuki K, Yoneda M et al (2018) Computer-assisted three-dimensional corrective osteotomy for malunited fractures of the distal radius using prefabricated bone graft substitute. J Hand Surg Asian-Pac 23:479–486CrossRef Shintani K, Kazuki K, Yoneda M et al (2018) Computer-assisted three-dimensional corrective osteotomy for malunited fractures of the distal radius using prefabricated bone graft substitute. J Hand Surg Asian-Pac 23:479–486CrossRef
18.
Zurück zum Zitat Quadlbauer S, Pezzei C, Jurkowitsch J, Rosenauer R, Pichler A, Schättin S, Hausner T (2018) Leixnering M (2018) Early complications and radiological outcome after distal radius fractures stabilized by volar angular stable locking plate. Arch Orthop Trauma Surg 138(12):1773–1782. https://doi.org/10.1007/s00402-018-3051-5 (Epub 2018 Oct 19)CrossRefPubMed Quadlbauer S, Pezzei C, Jurkowitsch J, Rosenauer R, Pichler A, Schättin S, Hausner T (2018) Leixnering M (2018) Early complications and radiological outcome after distal radius fractures stabilized by volar angular stable locking plate. Arch Orthop Trauma Surg 138(12):1773–1782. https://​doi.​org/​10.​1007/​s00402-018-3051-5 (Epub 2018 Oct 19)CrossRefPubMed
19.
Zurück zum Zitat Lameijer CM, Ten Duis HJ, Vroling D, Hartlief MT, El Moumni M (2018) van der Sluis CK (2018) Prevalence of posttraumatic arthritis following distal radius fractures in non-osteoporotic patients and the association with radiological measurements, clinician and patient-reported outcomes. Arch Orthop Trauma Surg 138(12):1699–1712. https://doi.org/10.1007/s00402-018-3046-2 (Epub 2018 Oct 13)CrossRefPubMedPubMedCentral Lameijer CM, Ten Duis HJ, Vroling D, Hartlief MT, El Moumni M (2018) van der Sluis CK (2018) Prevalence of posttraumatic arthritis following distal radius fractures in non-osteoporotic patients and the association with radiological measurements, clinician and patient-reported outcomes. Arch Orthop Trauma Surg 138(12):1699–1712. https://​doi.​org/​10.​1007/​s00402-018-3046-2 (Epub 2018 Oct 13)CrossRefPubMedPubMedCentral
Metadaten
Titel
Corrective osteotomy after malunited distal radius fractures
verfasst von
Hermann Krimmer
Rene Schandl
Roman Wolters
Publikationsdatum
19.03.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Orthopaedic and Trauma Surgery / Ausgabe 5/2020
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-020-03370-1

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