• Arch Orthop Trauma Surg · May 2020

    Review

    Corrective osteotomy after malunited distal radius fractures.

    • Hermann Krimmer, Rene Schandl, and Roman Wolters.
    • Handcenter Ravensburg, Elisabethenstr.19 G, 88212, Ravensburg, Germany. krimmer@handchirurgie-ravensburg.de.
    • Arch Orthop Trauma Surg. 2020 May 1; 140 (5): 675-680.

    AbstractPosttraumatic malunion or secondary dislocation can cause wrist joint incongruency. Uncorrected malalignment increases the risk of secondary degenerative changes and chronic pain. Therefore, early correction using the available fixed-angle devices, cancellous bone grafting only becomes necessary in larger bony defects. Premounting the plate through a palmar approach with regard to the desired correction angles leads to predictable results by precise correction. In case of posttraumatic growth arrest with larger discrepancy of the radius and the ulna, a two-staged procedure is advisable.

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