RETRACTED: Corrective Osteotomy of Malunited Fractures of the Distal Radius Using a Combined Surgical Approach

Abstract

Background: Malunited distal radius (DR) fractures following conservative treatment range from 6% to 80% of clinical observations. Surgical treatment is used to return the articular surface of the radius to original anatomical position and to restore the natural transfer of strength, wrist kinematics, and function of the entire hand. The aim of this research was to study and analyze the results of corrective osteotomy of malunited distal radius fractures using a combined approach. Methods: From 2008 to 2018, 43 patients with malunited DR fractures who underwent surgery using a combined approach were followed up. Long-term results (1 year after surgery) were studied in detail in 32 patients. Indications for surgery were determined taking into account, first, complaints of severe pain in the wrist during exertion, decreased hand strength, and limited mobility of the wrist. Results: Five patients (15.6%) reported a number of minor complications: intra-articular screw placement (2), incorrect reposition (1), transient neuropathy of the superficial branch of the radial nerve (1), and delayed fracture consolidation (1). In addition, another 5 patients reported the progression of wrist arthritis. Suppurations of the surgical wound and malunited fragments were not reported. Conclusions: During reconstructive interventions, a combined approach with palmar plating provides optimal conditions for corrective osteotomy, adequate reposition and plastic repair of the bone defect, and minimization of the number of complications.

Functional outcome of 2-D- and 3-D-guided corrective forearm osteotomies: a systematic review

“…Two randomized controlled trials (Andreasson et al., 2020b; Buijze et al., 2018), two case-control studies (Aibinder et al., 2018; Bauer et al., 2017), 12 cohort studies (Athlani et al., 2020; Bhatia et al., 2022; Dobbe et al., 2021; Kiliç et al., 2011; Mahmoud et al., 2012; Michielsen et al., 2018; Miyake et al., 2012; Oka et al., 2019; Pillukat et al., 2013, 2018, 2014; Tarallo et al., 2014) and 37 case studies (Andreasson et al., 2020a; Bilgin and Armangil, 2012; Buijze et al., 2012; Capo et al., 2010; Cha et al., 2021; Delclaux et al., 2016; Elmi et al., 2014; Estermann et al., 2022; Fok et al., 2015; Gaspar et al., 2017; Gradl et al., 2013; Haghverdian et al., 2019; Hsieh et al., 2010; Huang et al., 2019; Izmalkov et al., 2022; Konul and Krimmer, 2012; Lee et al., 2022; Lozano-Calderón et al., 2010; Miyake et al., 2011; Mulders et al., 2017; Oka et al., 2018; de Oliveira et al., 2012; Opel et al., 2014; Ozasa et al., 2013; Pace et al., 2021; Park et al., 2012; Pecache and Calleja, 2020; Robinson et al., 2022; Roner et al., 2020; Rothenfluh et al., 2013; Schurko et al., 2020; Shintani et al., 2018; Singh et al., 2022; Stirling et al., 2020;…”

Corrective Osteotomy with Volar and Dorsal Fixation for Malunion of Intra‐Articular Fracture of the Distal Radius: A Retrospective Study

“…Grip strength was the percentage of the contralateral limb 8 . A hydraulic grip dynamometer was used to measure the grip strength, which evaluated the recovery of wrist function.…”

“…An increasing body of evidence suggests that corrective osteotomy with volar fixation is an effective method for treating distal radius fracture malunion due to its unique advantages, accounting for its increasing use by orthopaedists 2 , 8 , 9 . Ingrid Andreasson et al .…”

“…An increasing body of evidence suggests that corrective osteotomy with volar fixation is an effective method for treating distal radius fracture malunion due to its unique advantages, accounting for its increasing use by orthopaedists 2,8,9 . Ingrid Andreasson et al reported good long-term follow-up outcomes for 37 patients with malunited fractures of distal radius who underwent corrective osteotomy using a volar plate 10 .…”

New Research on Distal Radius Fractures

“…[2][3][4][5] The fracture pattern, surgeon preference and experience, and the literature orientation in any point in time guide hand surgeons in the management of distal radius fractures. [11][12][13][14][15][16] The evidence for best practice needs to be regularly updated through scientific rigor and peer review, a process that has survived the test of time in the surgical world. For this reason, HAND has dedicated a supplemental issue to the research in distal radius fractures highlighting current trends, techniques, and outcomes for hand surgeon's interpretation and resolution in their quest to provide the best possible prevailing care for their patients.…”