Document Detail

Long-term outcomes of corrective osteotomy for the treatment of distal radius malunion.
MedLine Citation:
PMID:  20031995     Owner:  NLM     Status:  MEDLINE    
Corrective osteotomy is an established but challenging treatment for distal radius malunion. Short- and intermediate-term results have been previously published while long-term results have not. The long-term results of 22 patients treated with corrective osteotomy for symptomatic distal radius malunion are presented (range 6-24 years, mean 13 years). All patients completed the DASH questionnaire and the modified Gartland and Werley, and Green and O'Brien scores postoperatively. Wrist alignment was assessed through standard wrist radiographs. Average wrist flexion-extension was 72.5% of the contralateral limb. Grip strength averaged 71%. The DASH score averaged 16 points corresponding to mild perceived disability. Results were categorized as fair on both the Gartland and Werley score (average 9 points) and the modified Green and O'Brien score (average 67 points). Wrist alignment was maintained over time but 13 patients presented mild to moderate symptomatic wrist arthritis. The outcome presented may be a reflection of the use of stricter evaluation instruments or reflect the development of post-traumatic arthritis.
S A Lozano-Calderón; K M Brouwer; J N Doornberg; J Carel Goslings; P Kloen; J B Jupiter
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Publication Detail:
Type:  Journal Article     Date:  2009-12-23
Journal Detail:
Title:  The Journal of hand surgery, European volume     Volume:  35     ISSN:  1532-2211     ISO Abbreviation:  J Hand Surg Eur Vol     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-02     Completed Date:  2010-09-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101315820     Medline TA:  J Hand Surg Eur Vol     Country:  England    
Other Details:
Languages:  eng     Pagination:  370-80     Citation Subset:  IM    
Harvard Medical School, Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital Boston, USA.
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MeSH Terms
Aged, 80 and over
Disability Evaluation
Follow-Up Studies
Fractures, Malunited / radiography,  surgery*
Hand Strength / physiology
Middle Aged
Osteoarthritis / epidemiology,  physiopathology
Postoperative Care
Prospective Studies
Radius Fractures / radiography,  surgery*
Range of Motion, Articular / physiology
Wrist Joint / physiopathology,  radiography

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