Managing the Intra-articular Distal Radius Malunion.

Area of Science:

• Orthopedic Surgery
• Traumatology
• Radiology

Background:

• Intra-articular malunion of the distal radius is a complex orthopedic challenge.
• While not always requiring intervention, it can lead to functional deficits.

Purpose of the Study:

• To evaluate the role and outcomes of corrective osteotomy for intra-articular distal radius malunion.
• To highlight the technical considerations and potential limitations of surgical intervention.

Main Methods:

• Review of clinical cases and surgical techniques for corrective osteotomy.
• Discussion of imaging, planning (including 3D guides), and surgical approaches (volar, dorsal, arthroscopic assistance).

Main Results:

• Corrective osteotomy can significantly improve range of motion, grip strength, and patient-reported outcomes.
• The procedure demands meticulous planning and technical expertise, potentially involving multiple surgical sites and implants.

Conclusions:

• Surgical correction of intra-articular distal radius malunion is a viable option for improving function.
• Intervention may not alter the long-term prognosis regarding post-traumatic arthritis, which remains a likely outcome.