Treatment of neglected malunion of the distal radius: A cases series study

Malunion is the most common complication following distal radius fractures. Aim of this study
was to evaluate the results of distal radius corrective osteotomy and plate fixation by dorsal approach in the
malunion.
Methods: In this retrospective study, 14 patients with neglected distal radius malunion from 2005 to 2011
were studied. All patients were treated with an opening wedge osteotomy with a dorsal plate and cancellous
bone grafting. Radiological and clinical measurements were performed pre and postoperatively. All patients
were followed at least for two years.
Results: Fourteen patients with a mean age of 42.5±10.2 years including 2 females (14.2%) and 12 males
(85.8%) were studied. Radiological healing was achieved in all osteotomies at a mean of 11.5 (range: 11 to 14)
weeks. There were significant differences between wrist function and radiological findings before and after
treatment. Following the operation, all patients were relieved of pain. There were not any complications.
Conclusion: Based on our findings, dorsal approach for osteotomy and plate insertion is an effective approach
with good final results and no major complication for the treatment of distal radius malunion.