Corrective osteotomy of distal radius malunions using three-dimensional computer simulation and patient-specific guides to achieve anatomic reduction.
Malunion is a common complication of distal radius fractures, especially those treated conservatively. In clinical studies, a significant correlation between anatomic reduction and wrist function has been shown. Corrective osteotomy is the preferred treatment for symptomatic cases, notwithstanding the technical challenges. The use of computer simulation improves pre-operative understanding of the three-dimensional deformity. Patient-specific surgical guides, based on precise pre-operative planning, lead to superior perioperative accuracy and reproducibility. The pre-operative planning and surgical technique of distal radius corrective surgery using three-dimensional computer technology are described in detail. The preliminary results demonstrate the excellent clinical and radiographic outcome of this technique.
['Michielsen|Maartje|M|', 'Van Haver|Annemieke|A|', 'Bertrand|Veronique|V|', 'Vanhees|Matthias|M|', 'Verstreken|Frederik|F|http://orcid.org/0000-0003-2849-1190']
D000293:Adolescent D000328:Adult D000368:Aged D003198:Computer Simulation D005260:Female D005592:Fracture Fixation D017759:Fractures, Malunited D018737:Hand Strength D006801:Humans D021621:Imaging, Three-Dimensional D008297:Male D008875:Middle Aged D010027:Osteotomy D010347:Patient Care Planning D011300:Preoperative Care D011446:Prospective Studies D011885:Radius Fractures D016059:Range of Motion, Articular D016896:Treatment Outcome D055815:Young Adult
Corrective osteotomy Distal radius Malunion Patient specific Three-dimensional, 3D