TR
EN
Correction of nascent malunion of distal radius fractures
Abstract
Objective: Early correction of malunion of distal radius fractures may be necessary in young, active patients. The aim of this study was to report the advantages and disadvantages of early correction of distal radius malunion.
Methods: Eleven patients (10 male, 1 female; average age 36 years, range: 20 to 54 years) with nascent malunion of distal radius fractures were included in this study. The malunions occurred after initial conservative treatment of unstable distal radius fractures. Mean interval between injury and corrective surgery was 12 (range: 8 to 15) weeks. Two patients had intra- and extra-articular malunion and 9 had an extra-articular malunion. Volar correction was made in seven patients and dorsal correction in four. Results were evaluated radiologically and functionally using the Mayo wrist score.
Results: Bony healing was established after correctional osteotomies at an average of 8 (range: 5 to 16) weeks. The average preoperative dorsal deformity was 28° and was corrected to 4° of volar tilt postoperatively. Patients had a positive ulnar variance with an average of 5 mm initially and less than 1 mm postoperatively. Radial inclination was corrected from an average of 9° preoperatively to an average of 20° and the average postoperative Mayo wrist score was 82.5. Tenotomy of brachioradialis was useful for the correction of radial inclination, especially in old cases. Structural (corticocancellous) grafting was used in one patient. All patients returned to their previous functional level.
Conclusion: Advantages of early corrective osteotomy include anatomic restoration at the original fracture line, a shortened healing period and a decreased need for structural bone grafting. Disadvantages are that the recreation of the original fracture line is technically demanding and patients must be cooperative to achieve a successful outcome.
Methods: Eleven patients (10 male, 1 female; average age 36 years, range: 20 to 54 years) with nascent malunion of distal radius fractures were included in this study. The malunions occurred after initial conservative treatment of unstable distal radius fractures. Mean interval between injury and corrective surgery was 12 (range: 8 to 15) weeks. Two patients had intra- and extra-articular malunion and 9 had an extra-articular malunion. Volar correction was made in seven patients and dorsal correction in four. Results were evaluated radiologically and functionally using the Mayo wrist score.
Results: Bony healing was established after correctional osteotomies at an average of 8 (range: 5 to 16) weeks. The average preoperative dorsal deformity was 28° and was corrected to 4° of volar tilt postoperatively. Patients had a positive ulnar variance with an average of 5 mm initially and less than 1 mm postoperatively. Radial inclination was corrected from an average of 9° preoperatively to an average of 20° and the average postoperative Mayo wrist score was 82.5. Tenotomy of brachioradialis was useful for the correction of radial inclination, especially in old cases. Structural (corticocancellous) grafting was used in one patient. All patients returned to their previous functional level.
Conclusion: Advantages of early corrective osteotomy include anatomic restoration at the original fracture line, a shortened healing period and a decreased need for structural bone grafting. Disadvantages are that the recreation of the original fracture line is technically demanding and patients must be cooperative to achieve a successful outcome.
Keywords
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
March 23, 2012
Submission Date
March 7, 2014
Acceptance Date
-
Published in Issue
Year 2012 Volume: 46 Number: 1
APA
Bilgin, S., & Armangil, M. (2012). Correction of nascent malunion of distal radius fractures. Acta Orthopaedica et Traumatologica Turcica, 46(1), 30-34. https://izlik.org/JA26SR25HL
AMA
1.Bilgin S, Armangil M. Correction of nascent malunion of distal radius fractures. Acta Orthopaedica et Traumatologica Turcica. 2012;46(1):30-34. https://izlik.org/JA26SR25HL
Chicago
Bilgin, S., and Mehmet Armangil. 2012. “Correction of Nascent Malunion of Distal Radius Fractures”. Acta Orthopaedica et Traumatologica Turcica 46 (1): 30-34. https://izlik.org/JA26SR25HL.
EndNote
Bilgin S, Armangil M (March 1, 2012) Correction of nascent malunion of distal radius fractures. Acta Orthopaedica et Traumatologica Turcica 46 1 30–34.
IEEE
[1]S. Bilgin and M. Armangil, “Correction of nascent malunion of distal radius fractures”, Acta Orthopaedica et Traumatologica Turcica, vol. 46, no. 1, pp. 30–34, Mar. 2012, [Online]. Available: https://izlik.org/JA26SR25HL
ISNAD
Bilgin, S. - Armangil, Mehmet. “Correction of Nascent Malunion of Distal Radius Fractures”. Acta Orthopaedica et Traumatologica Turcica 46/1 (March 1, 2012): 30-34. https://izlik.org/JA26SR25HL.
JAMA
1.Bilgin S, Armangil M. Correction of nascent malunion of distal radius fractures. Acta Orthopaedica et Traumatologica Turcica. 2012;46:30–34.
MLA
Bilgin, S., and Mehmet Armangil. “Correction of Nascent Malunion of Distal Radius Fractures”. Acta Orthopaedica et Traumatologica Turcica, vol. 46, no. 1, Mar. 2012, pp. 30-34, https://izlik.org/JA26SR25HL.
Vancouver
1.S. Bilgin, Mehmet Armangil. Correction of nascent malunion of distal radius fractures. Acta Orthopaedica et Traumatologica Turcica [Internet]. 2012 Mar. 1;46(1):30-4. Available from: https://izlik.org/JA26SR25HL