Corrective osteotomy of the distal radius with palmar locking plate osteosynthesis without bone grafting and without cortical contact

Author:

Fuchs Johannes1ORCID,Spühler Dominik Lukas1,Luz Stephanie1,Zdravkovic Vilijam2,Hainich Jörg1

Affiliation:

1. Hand, Plastic and Reconstructive Surgery, Cantonal Hospital St. Gallen, Switzerland

2. Department of Orthopedics and Traumatology, Cantonal Hospital St. Gallen, Switzerland

Abstract

The aim of this study was to assess bone healing and secondary fracture displacement after corrective osteotomy of the distal radius without any cortical contact using palmar locking plates without bone grafting. Between 2009 and 2021, 11 palmar corrective osteotomies of extra-articular malunited distal radius fractures and palmar plate fixations without the use of bone grafts and without cortical contact, were assessed. All patients showed complete osseous restoration and significant improvement in all radiographic parameters. Except for one patient, there were no secondary dislocations or loss of reduction in the postoperative follow-up. Bone grafts may not be mandatory for bone healing and prevention of secondary fracture displacement after palmar corrective osteotomy without cortical contact and fixation with palmar locking plate. Level of evidence: IV

Publisher

SAGE Publications

Subject

Surgery

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