B1 Journal article

Mini-invasive Osteotomy for Pediatric Distal Radius Malunion




List of Authors: Pääkkönen Markus

Publisher: Lippincott-Raven Publishers

Publication year: 2021

Journal: Techniques in Hand and Upper Extremity Surgery

eISSN: 1531-6572

DOI: http://dx.doi.org/10.1097/BTH.0000000000000362


Abstract

Although most malunions after pediatric distal radius fractures will remodel as the child grows, adolescent patients with severe malunion and limited growth require reduction to restore alignment. The authors technique for a mini-invasive osteotomy is presented. The apex of the malunion is approached from a single 2 cm volar incision through the flexor carpi radialis sheath. Open wedge osteotomy is performed. The osteosynthesis is secured with an individually contoured T-plate. The procedure was used to correct a severe visible malunion in a 12-year-old girl. Normal alignment was achieved with no nerve or tendon injury or irritation, infection, refracture, or any other complication. Mini-invasive osteotomy with a volar plate is a feasible method for experienced hand surgeons for the treatment of distal radius malunion in adolescents.


Last updated on 2021-18-10 at 10:36