Minimally invasive osteotomy for distal radius malunion: A preliminary series of 9 cases - 08/10/15

Doi : 10.1016/j.otsr.2015.07.016

C. Taleb ^a, A. Zemirline ^b, F. Lebailly ^c, F. Bodin ^d, S. Facca ^a, S. Gouzou ^a, P. Liverneaux ^a,^⁎
^a Hand Surgery Department, Strasbourg University Hospitals, FMTS, University of Strasbourg, Icube CNRS 7357, 67403 Illkirch, France
^b Hand Surgery Department, Private Hospital Saint-Grégoire, 35760 Rennes, France
^c Hand Surgery Department, Saint-Paul Institute, 97200 Fort-de-France, Martinique
^d Plastic Surgery Department, Strasbourg University Hospitals, FMTS, University of Strasbourg, 67000 Strasbourg, France

^⁎Corresponding author at: Hand Surgery Department, Strasbourg University Hospitals, 10, avenue Baumann, 67403 Illkirch, France. Tel.: +33 6 88 89 47 79; fax: +33 3 88 55 23 63.

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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.