Evaluation of corrective osteotomy results in distal dorsal radius malunion

Abstract

Osteotomy is one of the common methods in the correction of distal radius fractures. There are conflicting results in various studies regarding the time of the procedure and related complications and results. On the other hand, different results have been presented in different patients based on clinical and radiological indications. Considering these cases, the purpose of this study is to investigate the results of osteotomy in distal radius corrosion. Materials and Methods: In this cross-sectional study, patients with distal radius fractures who had malunion of the distal radius based on clinical examination criteria and radiographic images were included in the study. Patients who have an indication for osteotomy correction were examined. Patients will be selected if the interval between fracture and osteotomy is between 4 and 6 weeks. Before and 6 months after osteotomy, grip strength and range of motion of hand joints will be evaluated. Also, using the Quick Disabilities of the Arm, Shoulder and Hand questionnaire, the condition of the patients will be evaluated. Patient information including age, gender, occupation, injured side (dominant or dominant hand), mechanism of injury (based on low and high energy), type of fracture (intra-articular or extra-articular), complications (carpal tunnel syndrome, need for re-surgery, the need to implant a prosthesis) was recorded. Results: Examination of ROM in patients six months after surgery indicated that there is a statistically significant difference between the variables such as Supination and Radial Deviation between the two groups. The results of the radiological examinations of the participants indicated that the results of the Volar tilt and Radial Inclination variables after surgery in the osteotomy group patients were significantly better than the control group, other radiological variables had no difference between the two groups.