Complications of Corrective Osteotomies for Extra-Articular Distal Radius Malunion

Haghverdian, Justin; Hsu, John D.; Harness, Neil G.

doi:10.1016/j.jhsa.2018.12.013

Cited by 23 publications

(22 citation statements)

References 32 publications

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“…Corrective osteotomies are technically challenging and complications such as tendon ruptures, neuropathy, hardware failure and loss of alignment do occur. Additional surgery following corrective osteotomy after malunion of the distal radius is therefore sometimes warranted [25][26][27]. In this study, a few participants had undergone secondary surgery during the year after the corrective surgery due to complications and they had experienced some inconvenience following this.…”

Section: Discussionmentioning

confidence: 97%

Daily life one year after corrective osteotomy for malunion of a distal radius fracture an interview study

Andreasson

Carlsson

Kjellby-Wendt

et al. 2021

Journal of Plastic Surgery and Hand Surgery

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The aim of this study was to explore the everyday life experiences of people one year after corrective osteotomy following a symptomatic, malunited, distal radius fracture. Semi-structured interviews were conducted with twenty respondents, median age 65 (22-81) years. The respondents were recruited consecutively. The interviews were subjected to qualitative content analysis. Three authors took part in the analysis. The result is presented as one theme, 'Daily life works again' with five categories: Relief of inconveniences and symptoms, Managing new symptoms and complications, Regaining abilities, Normalised social relationships, Increased wellbeing. The symptoms had declined in severity, some participants regarded themselves as fully restored and used their hand again without hesitation. Others were still bothered by their wrist occasionally and a few had to manage complications. The participants had regained the ability to perform many everyday life activities and reported increased independence and less irritation between spouses, as well as increased wellbeing. One year after a corrective osteotomy following malunion of a distal radius fracture, the patients' experiences represent a continuum. Some are still restricted by their wrist occasionally, the majority experience an increased ease in their performance of activities of daily life and some regard themselves as fully restored. The recovery has a positive impact on social relationships and the patients' wellbeing.

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Section: Discussionmentioning

confidence: 97%

Daily life one year after corrective osteotomy for malunion of a distal radius fracture an interview study

Andreasson

Carlsson

Kjellby-Wendt

et al. 2021

Journal of Plastic Surgery and Hand Surgery

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“…11 In addition, those with a symptomatic malunion may require a corrective osteotomy, which has a reported complication rate of 50% and is associated with significant morbidity. 12,13 This example demonstrates the potential dilemma in approaching treatment at a time when non-surgical management may be incentivized.…”

Section: Application: Case Examplesmentioning

confidence: 99%

Approaching “Elective” Surgery in the Era of COVID-19

Lockey

Kessler

2021

The Journal of Hand Surgery

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The COVID-19 pandemic created unprecedented challenges for the healthcare system. In order to meet capacity demands, hospitals around the world suspended surgeries deemed to be “elective.” In hand surgery, there are numerous pathologies treated on an elective basis, but a delay or absence of care may result in poorer outcomes. We present here an ethical framework for prioritizing elective surgery during a period of resource scarcity. Instead of using the term elective, we define procedures that can be safely delayed based on three considerations. First, a safe delay is only possible if deferral will not result in permanent injury. Second, a delay in care will come with tolerable costs and impositions that can be appropriately managed in the future. Third, a safe delay will preserve the bioethical principle of patient autonomy. In considering these criteria, three case examples are discussed taking into account individual patient characteristics and the pathophysiology of the condition. This framework design is applicable to ambulatory surgery in any period of crises that may strain resources, but further considerations may be important if an operation requires hospital admission.

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“…Yine gruplar arasında kavrama güçleri açısından anlamlı fark tespit edilemezken Mayo el bilek skorlarında kapalı kama osteotomisi ve ulnar kısaltma yapılan olgularda daha iyi sonuçlar elde edilmiştir. [31] Eklem dışı düzeltici osteotomi yapılan 60 olguluk bir seride enfeksiyon, redüksiyon kaybı ve implant yetmezliği, tendon irritasyonu veya rüptürü, kompleks bölgesel ağrı sendromu, sinir yaralanması gibi komplikasyonların oranı %58 civarında (35 hasta) saptanmış olup, bunların 13'ünde ikincil cerrahi gereksinim olurken [32] , 122 olguluk geniş bir seride ise komplikasyon oranı %12 olarak bildirilmiştir. [33] Sonuç olarak; DRUE instabilitesine yol açan distal radius yanlış kaynamalarında tedavinin kişiye özel olması gerektiği unutulmamalıdır.…”

Section: Radyal Koronal Translasyon Ile Olan Yanlış Kaynamalarunclassified

Radius yanlış kaynaması ile birlikte olan distal radyoulnar eklem instabilitesi

Kiliç¹,

Ayan²

2021

TOTBID

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Ulna başı radius distalinde sığ sigmoid çentik ile eklem yapar. Sigmoid çentiğin volar tarafında %80 oranında eklem dışı osteofibrokartilaj dudak vardır. Bu dudak ulnanın palmar translasyonuna karşı destek etkisi oluşturarak stabiliteye katkı sağlar. [5] Sigmoid çentiğin yarıçapı ulna başından daha büyüktür. Distal radyoulnar eklem stabilitesi kemik yapıdan ziyade yumuşak doku ile sağlanmaktadır. Sigmoid çentik ile ulna başı arasındaki maksimum temas %60 ile nötral pozisyonda olmakta, tam pronasyon ve supinasyonda bu oran %10'a düşmektedir. [6] Kemik anatominin DRUE stabilitesine katkısı %30'dur. [7] Distal ulna maksimum pronasyonda 2,8 mm dorsale, maksimum supinasyonda 5,4 mm volare translasyon gerçekleştirir. [8]

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Complications of Corrective Osteotomies for Extra-Articular Distal Radius Malunion

Cited by 23 publications

References 32 publications

Daily life one year after corrective osteotomy for malunion of a distal radius fracture an interview study

Daily life one year after corrective osteotomy for malunion of a distal radius fracture an interview study

Approaching “Elective” Surgery in the Era of COVID-19

Radius yanlış kaynaması ile birlikte olan distal radyoulnar eklem instabilitesi

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