Corrective osteotomy for deformity of the distal radius using a volar locking plate

Brett Peterson, Varun Gajendran, Robert M Szabo

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Dorsally angulated malunions of the distal radius have historically been corrected with an opening wedge osteotomy fixed with a dorsal plate. Volar locking plates may facilitate a less morbid approach to corrective osteotomies of the wrist. Eight consecutive patients with an average age of 40 years (range, 15-52 years) underwent correction of a distal radius deformity through a volar approach. Clinical follow-up averaged 17.4 months (range, 7-41 months). Preoperative radiographs revealed an average of 24° of dorsal tilt in patients with dorsal deformity. Postoperatively, their average measurement was <3° of volar tilt. Patients were initially ulnar-positive with an average of 4 mm ulnar-positive variance (range, 2-7 mm). This corrected to less than 1 mm postoperatively. Postoperative disabilities of the arm, shoulder, and hand (DASH), SF-12, and Mayo Wrist scores averaged 10.8, 40.5, and 82.5, respectively. There were no nonunions, and no plates required removal. Distal radius deformity can be effectively addressed through a volar approach with the use of a locking plate.

Original languageEnglish (US)
Pages (from-to)61-68
Number of pages8
JournalHand
Volume3
Issue number1
DOIs
StatePublished - Mar 2008

Fingerprint

Osteotomy
Wrist
Arm
Hand

Keywords

  • Bonetrauma
  • Fracture
  • Hand
  • Osteotomy
  • Wrist

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Corrective osteotomy for deformity of the distal radius using a volar locking plate. / Peterson, Brett; Gajendran, Varun; Szabo, Robert M.

In: Hand, Vol. 3, No. 1, 03.2008, p. 61-68.

Research output: Contribution to journalArticle

Peterson, Brett ; Gajendran, Varun ; Szabo, Robert M. / Corrective osteotomy for deformity of the distal radius using a volar locking plate. In: Hand. 2008 ; Vol. 3, No. 1. pp. 61-68.
@article{0965324fbc4343ee8aeb0aa68668ce99,
title = "Corrective osteotomy for deformity of the distal radius using a volar locking plate",
abstract = "Dorsally angulated malunions of the distal radius have historically been corrected with an opening wedge osteotomy fixed with a dorsal plate. Volar locking plates may facilitate a less morbid approach to corrective osteotomies of the wrist. Eight consecutive patients with an average age of 40 years (range, 15-52 years) underwent correction of a distal radius deformity through a volar approach. Clinical follow-up averaged 17.4 months (range, 7-41 months). Preoperative radiographs revealed an average of 24° of dorsal tilt in patients with dorsal deformity. Postoperatively, their average measurement was <3° of volar tilt. Patients were initially ulnar-positive with an average of 4 mm ulnar-positive variance (range, 2-7 mm). This corrected to less than 1 mm postoperatively. Postoperative disabilities of the arm, shoulder, and hand (DASH), SF-12, and Mayo Wrist scores averaged 10.8, 40.5, and 82.5, respectively. There were no nonunions, and no plates required removal. Distal radius deformity can be effectively addressed through a volar approach with the use of a locking plate.",
keywords = "Bonetrauma, Fracture, Hand, Osteotomy, Wrist",
author = "Brett Peterson and Varun Gajendran and Szabo, {Robert M}",
year = "2008",
month = "3",
doi = "10.1007/s11552-007-9066-y",
language = "English (US)",
volume = "3",
pages = "61--68",
journal = "Hand",
issn = "1558-9447",
publisher = "Springer New York",
number = "1",

}

TY - JOUR

T1 - Corrective osteotomy for deformity of the distal radius using a volar locking plate

AU - Peterson, Brett

AU - Gajendran, Varun

AU - Szabo, Robert M

PY - 2008/3

Y1 - 2008/3

N2 - Dorsally angulated malunions of the distal radius have historically been corrected with an opening wedge osteotomy fixed with a dorsal plate. Volar locking plates may facilitate a less morbid approach to corrective osteotomies of the wrist. Eight consecutive patients with an average age of 40 years (range, 15-52 years) underwent correction of a distal radius deformity through a volar approach. Clinical follow-up averaged 17.4 months (range, 7-41 months). Preoperative radiographs revealed an average of 24° of dorsal tilt in patients with dorsal deformity. Postoperatively, their average measurement was <3° of volar tilt. Patients were initially ulnar-positive with an average of 4 mm ulnar-positive variance (range, 2-7 mm). This corrected to less than 1 mm postoperatively. Postoperative disabilities of the arm, shoulder, and hand (DASH), SF-12, and Mayo Wrist scores averaged 10.8, 40.5, and 82.5, respectively. There were no nonunions, and no plates required removal. Distal radius deformity can be effectively addressed through a volar approach with the use of a locking plate.

AB - Dorsally angulated malunions of the distal radius have historically been corrected with an opening wedge osteotomy fixed with a dorsal plate. Volar locking plates may facilitate a less morbid approach to corrective osteotomies of the wrist. Eight consecutive patients with an average age of 40 years (range, 15-52 years) underwent correction of a distal radius deformity through a volar approach. Clinical follow-up averaged 17.4 months (range, 7-41 months). Preoperative radiographs revealed an average of 24° of dorsal tilt in patients with dorsal deformity. Postoperatively, their average measurement was <3° of volar tilt. Patients were initially ulnar-positive with an average of 4 mm ulnar-positive variance (range, 2-7 mm). This corrected to less than 1 mm postoperatively. Postoperative disabilities of the arm, shoulder, and hand (DASH), SF-12, and Mayo Wrist scores averaged 10.8, 40.5, and 82.5, respectively. There were no nonunions, and no plates required removal. Distal radius deformity can be effectively addressed through a volar approach with the use of a locking plate.

KW - Bonetrauma

KW - Fracture

KW - Hand

KW - Osteotomy

KW - Wrist

UR - http://www.scopus.com/inward/record.url?scp=39049113487&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=39049113487&partnerID=8YFLogxK

U2 - 10.1007/s11552-007-9066-y

DO - 10.1007/s11552-007-9066-y

M3 - Article

C2 - 18780123

AN - SCOPUS:39049113487

VL - 3

SP - 61

EP - 68

JO - Hand

JF - Hand

SN - 1558-9447

IS - 1

ER -