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Correcting osteotomy for intra-articular malunion of the distal radius
- Authors: Semenkin O.M.1,2, Izmalkov S.N.1, Golubtsov V.I.2
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Affiliations:
- Samara State Medical University
- Kalinin Regional Hospital
- Issue: Vol 21, No 2 (2015)
- Pages: 16-23
- Section: Clinical studies
- URL: https://journal.rniito.org/jour/article/view/127
- DOI: https://doi.org/10.21823/2311-2905-2015-0-2-16-23
- ID: 127
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Abstract
The purpose - to analyze the results of the surgical treatment of patients with intra-articular malunited fractures of the distal radius (DR). Material and methods. The operative treatment was performed in 12 patients (5 men and 7 women) with 12 malunited fractures of the DR. The average term from the injury to surgery was 19,67±7,13 weeks (from 5 to 92 weeks). We performed an intra-articular correcting osteotomy in 9 patients, combined intra-articular and extra-articular correcting osteotomy was used in three ones. The results of the treatment were assessed according to the DASH questionnaire, Cooney - Krimmer (1996) score, Martini (1999) score and the scheme offered by the authors. Results. In a year after the operation the rates of DASH questionnaire were 14,21±2,43 points averagely; 11 patients showed positive outcomes - 91,7% (Cooney - Krimmer score), 9 patients - 75% (Martini score) and 10 patients - 83,3% (scheme offered by the authors). Complications were observed in 3 patients. The fixators were removed from 3 patients. Conclusion. Corrective osteotomy in patients with symptomatic malunited intra-articular fractures of the distal radius is a safe and effective procedure that improves the structure and function of the wrist.
About the authors
O. M. Semenkin
Samara State Medical University; Kalinin Regional Hospital
Author for correspondence.
Email: olegsemenkin63@yandex.ru
Russian Federation
S. N. Izmalkov
Samara State Medical University
Email: noemail@neicon.ru
Russian Federation
V. I. Golubtsov
Kalinin Regional Hospital
Email: noemail@neicon.ru
Russian Federation
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