Minimally invasive osteotomy for distal radius malunion: A preliminary series of 9 cases - 20/11/15
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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.
Type |
Case-series.
Level of evidence |
IV.
Le texte complet de cet article est disponible en PDF.Keywords : Distal radius malunion, Volar plate, Minimally invasive surgery, Osteotomy
Plan
Vol 101 - N° 7
P. 861-865 - novembre 2015 Retour au numéro
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