2015, Number 1
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Medisur 2015; 13 (1)
Management of malunions of the distal radius
Truffin RY, Pérez MO, Gómez ARE, Gómez GIL
Language: Spanish
References: 9
Page: 84-88
PDF size: 324.79 Kb.
ABSTRACT
Fractures of the distal radius often present with a
group of major complications. Of these, malunion is
one of the most disabling. Its management through
salvage procedures is essential for its correction.
The case of a 60-year-old healthy woman of urban
origin treated at the Dr. Gustavo Aldereguía Lima
University General Hospital in Cienfuegos because of
a malunion of the distal end of the left radius as a
result of a previous Colles' fracture is presented. The
patient complained of severe pain preventing her
from sleeping and performing daily life activities. A
salvage surgery consisting of the osteotomy of the
distal dorsal radius with bone grafting was
performed using Fernández technique with
satisfactory results.
REFERENCES
Graham TJ. Surgical correction of malunited fractures of the distal radius. J Am Acad Orthop Surg. 1997 ; 5 (5): 270-81.
Inhofe PD, Moneim MS. Osteotomy for malunion of a radial neck fracture. Orthopedics. 1998 ; 21 (4): 481-2.
Kamineni S, Maritz NG, Morrey BF. Proximal radial resection for posttraumatic radioulnar synostosis: a new technique to improve forearm rotation. J Bone Joint Surg Am. 2002 ; 84A (5): 745-51.
Malone KJ, Magnell TD, Freeman DC, Boyer MI, Placzek JD, et al. Surgical correction of dorsally angulated distal radius malunions with fixed angle volar plating: a case series. J Hand Surg Am. 2006 ; 31 (3): 366-72.
Ring D, Prommersberger KJ, González del Pino J, Capomassi M, Slullitel M, Jupiter JB. Corrective osteotomy for intra-articular malunion of the distal part of the radius. Surgical Technique. J Bone Joint Surg Am. 2006 ; 88 Suppl 1(Pt 2): S202-11.
Wada T, Isogai S, Kanaya K, Tsukahara T, Yamashita T. Simultaneous radial closing wedge and ulnar shortening osteotomies for distal radius malunion. J Hand Surg Am. 2004 ; 29 (2): 264-72.
Thivaios GC, McKee MD. Sliding osteotomy for deformity correction following malunion of volarly displaced distal radial fractures. J Orthop Trauma. 2003 ; 17 (5): 326-33.
Fernández DL. Correction of posttraumatic wrist deformity in adults by osteotomy, bone grafting and internal fixation. J Bone Joint Surg. 1982 ; 64A: 1164-78.
Sanders RA, Frederick HA, Hontas RB. The Sauvé-Kapandji procedure: a salvage operation for the distal radioulnar joint. J Hand Surg. 1991 ; 16A: 1125-29.
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