Corrective Osteotomy of Distal Radius Malunion Using a Rectangular-shaped Iliac Bone Graft and Volar Plating

Area of Science:

• Orthopedic Surgery
• Traumatology
• Bone Healing

Background:

• Distal radius fractures are common orthopedic emergencies with potential for malunion.
• Surgical correction of distal radius malunion can be technically challenging.
• Existing techniques may involve complex osteotomies.

Purpose of the Study:

• To present a simplified surgical technique for corrective osteotomies in distal radius malunion.
• To evaluate the efficacy of a novel approach using tricortical iliac bone graft.
• To assess the restoration of radiographic wrist parameters and union rates.

Main Methods:

• Demonstration of an alternative corrective osteotomy technique for extra-articular or minimally displaced articular distal radius malunion.
• Simplification of the procedure by reducing the planes considered during osteotomy.
• Utilization of a tricortical iliac bone graft for structural support and prevention of collapse.

Main Results:

• The technique effectively restores radiographic wrist parameters.
• Good union rates were observed following the surgical procedure.
• The method provides dependable structural support and prevents collapse.

Conclusions:

• The described surgical technique offers a simplified and effective approach to correct distal radius malunion.
• The use of tricortical iliac bone graft ensures structural integrity and promotes successful bone healing.
• This method facilitates easier access to the osteotomy site and graft application.