Rotational Corrective Osteotomy for Malunited Distal Diaphyseal Radius Fractures in Children and Adolescents

Kataoka, Takao; Oka, Kunihiro; Murase, Tsuyoshi

doi:10.1016/j.jhsa.2017.09.003

Cited by 11 publications

(8 citation statements)

References 28 publications

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“…Since the spread of computer-aided planning and the introduction of PSIs in the last two decades, many different options have become viable to improve surgical accuracy and final outcome [ 1 , 4 , 21 , 22 , 23 , 24 , 25 ]. Technology has made it easier to achieve correction with a single oblique osteotomy, which allows correction of both the angular and rotational deformities, preserving bone length [ 4 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

The Flipping-Wedge Osteotomy: How 3D Virtual Surgical Planning (VSP) Suggested a Simple and Promising Type of Osteotomy in Pediatric Post-Traumatic Forearm Deformity

Depaoli

Menozzi

Gennaro

et al. 2023

JPM

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(1) Background: The application of computer-aided planning in the surgical treatment of post-traumatic forearm deformities has been increasingly widening the range of techniques over the last two decades. We present the “flipping-wedge osteotomy”, a promising geometrical approach to correct uniapical deformities defined during our experience with virtual surgical planning (VSP); (2) Methods: a case of post-traumatic distal radius deformity (magnitude 43°) treated with a flipping-wedge osteotomy in an 11-year-old girl is reported, presenting the planning rationale, its geometrical demonstration, and the outcome of the procedure; (3) Results: surgery achieved correction of both the angular and rotational deformities with a neutral ulnar variance; (4) Conclusions: flipping-wedge osteotomy may be a viable option to achieve correction in forearm deformities, and it deserves further clinical investigation.

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Section: Discussionmentioning

confidence: 99%

The Flipping-Wedge Osteotomy: How 3D Virtual Surgical Planning (VSP) Suggested a Simple and Promising Type of Osteotomy in Pediatric Post-Traumatic Forearm Deformity

Depaoli

Menozzi

Gennaro

et al. 2023

JPM

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“…A step-by-step correction during growth must be expected. Alternatives to treatment with an external fixator should therefore be considered, as this is a lengthy treatment with added complications ( 21 , 27 , 28 ). In the older child one can consider ulnar shortening combined with epiphysiodesis if radial alignment is fine.…”

Section: Discussionmentioning

confidence: 99%

Calcium phosphate bone cement and metaphyseal corrective osteotomies in the upper extremity: long-term follow-up of 10 children

Winge

Røkkum

2022

ActaO

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Background and purpose: The evaluation of metaphyseal angular deformities in children includes indication and timing for corrective osteotomy, and possible need for several operations during growth. Gap-fillers are usually autologous bone grafts, which might cause donor site problems. Calcium phosphate (CaP) bone cement may be a possible alternative.Patients and methods: We performed 15 corrective osteotomies from 2007 to 2013 in 10 children, ages 5 to 18, with Norian SRS bone cement as a gap-filler, in the distal radius (12), proximal radius (1), and proximal humerus (2). Due to growth arrest and gradually increasing malalignments 3/10 children needed 1–3 additional corrections. Locking plates and screws were used except in 1 case at first surgery, aged 5 (K-wires). 2 children needed additional limb lengthening with external fixator.Results: All osteotomies healed. Postoperative radiographs and CT scans showed good alignment and gradual transformation of cement into bone. Remodeling was visible intraoperatively in patients needing multiple surgeries. Return to earlier osteotomy sites was unproblematic. No adverse events from using CaP cement were experienced.Interpretation: CaP cement is an alternative to bone grafts in upper extremity metaphyseal corrective osteotomies in children, and also when greater corrections are necessary or several surgeries indicated during the growth period.

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“…Miyake et al [7] included 20 patients with a forearm malunion and found an improvement in angular deformity and an improvement in the mean arc of forearm motion. Kataoka et al [14] investigated the use of computer-planning for the correction of malunited diaphyseal forearm fractures in four patients and found an improvement in angular deformity on X-ray, range of forearm rotation, and grip strength. These studies demonstrate that the use of 3D planning and printing of patient-specific guides helps surgeons to precisely perform corrective osteotomies of complex malunited fractures.…”

Section: Discussionmentioning

confidence: 99%

“…The introduction of 3D preoperative planning and printing of patient-specific guides has significantly improved the interpretation of complex fractures. Several studies have shown that the correction of malunited forearm fractures can be precisely planned and performed using 3D analyses and printing of guides, which subsequently resulted in improved functional outcomes [11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Patient-Specific Guided Osteotomy to Correct a Symptomatic Malunion of the Left Forearm

Schröder

Graaff²,

Vochteloo³

2021

Children

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We present a case report of a 12-year old female with a midshaft forearm fracture. Initial conservative treatment with a cast failed, resulting in a malunion. The malunion resulted in functional impairment for which surgery was indicated. A corrective osteotomy was planned using 3D analyses of the preoperative CT-scan. Subsequently, patient-specific guides were printed and used during the procedure to precisely correct the malunion. Three months after surgery, the radiographs showed full consolidation and the patient was pain-free with full range of motion and comparable strength in both forearms. The current case report shows that a corrective osteotomy with patient-specific guides based on preoperative 3D analyses can help surgeons to plan and precisely correct complex malunions resulting in improved functional outcomes.

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Rotational Corrective Osteotomy for Malunited Distal Diaphyseal Radius Fractures in Children and Adolescents

Abstract: Therapeutic V.

Cited by 11 publications

References 28 publications

The Flipping-Wedge Osteotomy: How 3D Virtual Surgical Planning (VSP) Suggested a Simple and Promising Type of Osteotomy in Pediatric Post-Traumatic Forearm Deformity

The Flipping-Wedge Osteotomy: How 3D Virtual Surgical Planning (VSP) Suggested a Simple and Promising Type of Osteotomy in Pediatric Post-Traumatic Forearm Deformity

Calcium phosphate bone cement and metaphyseal corrective osteotomies in the upper extremity: long-term follow-up of 10 children

Patient-Specific Guided Osteotomy to Correct a Symptomatic Malunion of the Left Forearm

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Rotational Corrective Osteotomy for Malunited Distal Diaphyseal Radius Fractures in Children and Adolescents

Abstract: Therapeutic V.

Cited by 11 publications

References 28 publications

The Flipping-Wedge Osteotomy: How 3D Virtual Surgical Planning (VSP) Suggested a Simple and Promising Type of Osteotomy in Pediatric Post-Traumatic Forearm Deformity

The Flipping-Wedge Osteotomy: How 3D Virtual Surgical Planning (VSP) Suggested a Simple and Promising Type of Osteotomy in Pediatric Post-Traumatic Forearm Deformity

Calcium phosphate bone cement and metaphyseal ­corrective osteotomies in the upper extremity: long-term follow-up of 10 children

Patient-Specific Guided Osteotomy to Correct a Symptomatic Malunion of the Left Forearm

Contact Info

Product

Resources

About

Calcium phosphate bone cement and metaphyseal corrective osteotomies in the upper extremity: long-term follow-up of 10 children