期刊
STRATEGIES IN TRAUMA AND LIMB RECONSTRUCTION
卷 9, 期 1, 页码 53-58出版社
SPRINGER HEIDELBERG
DOI: 10.1007/s11751-014-0190-2
关键词
Correction osteotomy; Corrective osteotomy; Distal radius; Malunion; Bone graft; Locking plates
类别
The purpose of this study was to evaluate the results of our correction osteotomies of distal radial malunions without a bone graft. Eleven consecutive patients (mean age 52 years, range 18-71) were treated. A dorsal approach was utilised to perform an opening-wedge osteotomy which then was stabilised with two dorsal columnar plates without filling the osteotomy gap. All patients went on to radiographic union with a filling of the osteotomy gap within a mean period of 3 months (range 2-6 months). All patients had satisfactory results in terms of function and pain. Correction osteotomy and stabilisation with bicolumnar locked plate fixation without a bone graft provides sufficient stability to allow the highly vascularised metaphysis to heal. In patients without risk factors predisposing to non-union, this procedure is safe and feasible.
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