J Korean Fract Soc.  2014 Jan;27(1):29-35. 10.12671/jkfs.2014.27.1.29.

The Clinical Results of Opening Wedge Osteotomy in the Volarly Malunited Distal Radius

• Lee SJ
• Choi JH

• KMID: 1816999
• DOI: http://doi.org/10.12671/jkfs.2014.27.1.29

Abstract

PURPOSE
To report the clinical results of opening wedge osteotomy graft in the volarly malunited distal radius.
MATERIALS AND METHODS
Ten patients with volarly malunited distal radius fractures treated by opening wedge osteotomy were included in this study. Grip power, range of motion of the wrist, radiographic parameter and Mayo wrist scores were retrospectively evaluated.
RESULTS
At the final follow-up, the rotation of the forearm, the range of motion of wrist, and the grip power were improved. The average radial inclination improved to 22.2degrees, the average volar tilting improved to 5.6degrees, and the average ulnar variance improved to 0.8 mm. The average Mayo wrist score was improved to 85.6.
CONCLUSION
Opening wedge osteotomy for volarly malunited distal radius was considered as one of the good treatments to restore anatomy of the distal radius and distal radioulnar joint and also to improve the function of the wrist joint.

Keyword

Distal radius; Malunion; Opening wedge osteotomy

MeSH Terms

Follow-Up Studies
Forearm
Hand Strength
Humans
Joints
Osteotomy*
Radius Fractures
Radius*
Range of Motion, Articular
Retrospective Studies
Transplants
Wrist
Wrist Joint