Strategies in Trauma and Limb Reconstruction

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VOLUME 12 , ISSUE 2 ( August, 2017 ) > List of Articles

Review

Three-dimensional virtual planning of corrective osteotomies of distal radius malunions: a systematic review and meta-analysis

R. J. O. de Muinck Keizer, K. M. Lechner, M. A. M. Mulders, N. W. L. Schep, D. Eygendaal, J. C. Goslings

Keywords : 3-Dimensional, Corrective osteotomy, Distal radius, Malunion

Citation Information : de Muinck Keizer RJ, Lechner KM, Mulders MA, Schep NW, Eygendaal D, Goslings JC. Three-dimensional virtual planning of corrective osteotomies of distal radius malunions: a systematic review and meta-analysis. 2017; 12 (2):77-89.

DOI: 10.1007/s11751-017-0284-8

License: CC BY-NC-SA 4.0

Published Online: 31-08-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

The purpose of this study was to summarize and evaluate results of three-dimensional (3D-) planned corrective osteotomies of malunited distal radius fractures. 3D-planning techniques provide the possibility to address 3D-deformity that conventional planning methods might not address. We systematically searched PubMed, EMBASE and the Cochrane library for studies that performed a 3D-planned corrective osteotomy on patients with a malunited distal radius fracture. Fifteen studies with a total of 68 patients were included in the analysis. In 96% of cases, the preoperatively present palmar tilt, radial inclination and ulnar variance showed statistically significant improvement postoperatively with restoration to within 5° or 2 mm of their normal values. Mean flexion–extension, pro-supination and grip strength showed statistically significant improvement (p < 0.05). Complications were reported in 11 out of 68 patients (16%). With the current advances in 3D printing technology, 3D-planned corrective osteotomies seem a promising technique in the treatment of complex distal radius malunions. Level of evidence IV Systematic review of case series, Level IV.


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