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VOLUME 9 , ISSUE 1 ( April, 2014 ) > List of Articles

Original Article

Correction osteotomy of distal radius malunion stabilised with dorsal locking plates without grafting

D. Tiren, D. I. Vos

Keywords : Correction osteotomy, Corrective osteotomy, Distal radius, Malunion, Bone graft, Locking plates

Citation Information : Tiren D, Vos DI. Correction osteotomy of distal radius malunion stabilised with dorsal locking plates without grafting. 2014; 9 (1):53-58.

DOI: 10.1007/s11751-014-0190-2

License: CC BY-NC-SA 4.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

The purpose of this study was to evaluate the results of our correction osteotomies of distal radial malunions without a bone graft. Eleven consecutive patients (mean age 52 years, range 18–71) were treated. A dorsal approach was utilised to perform an opening-wedge osteotomy which then was stabilised with two dorsal columnar plates without filling the osteotomy gap. All patients went on to radiographic union with a filling of the osteotomy gap within a mean period of 3 months (range 2–6 months). All patients had satisfactory results in terms of function and pain. Correction osteotomy and stabilisation with bicolumnar locked plate fixation without a bone graft provides sufficient stability to allow the highly vascularised metaphysis to heal. In patients without risk factors predisposing to non-union, this procedure is safe and feasible.


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