gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Functional outcomes after corrective osteotomy of symptomatic distal radius malunions in children

Meeting Abstract

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  • presenting/speaker Caroline Selles - Maasstad Hospital, Rotterdam, Netherlands
  • Marjolein Mulders - Amsterdam UMC, Amsterdam, Netherlands
  • Gert Roukema - Maasstad Hospital, Rotterdam, Netherlands
  • Cornelis Van Der Vlies - Maasstad Hospital, Rotterdam, Netherlands
  • Berry Cleffken - Maasstad Hospital, Rotterdam, Netherlands
  • Niels Schep - Maasstad Hospital, Rotterdam, Netherlands

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-401

doi: 10.3205/19ifssh1426, urn:nbn:de:0183-19ifssh14260

Veröffentlicht: 6. Februar 2020

© 2020 Selles et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: Closed reduction and cast immobilization of displaced distal radius fractures carries the risk of secondary displacement, which could result in a symptomatic malunion. In patients with a symptomatic malunion, a corrective osteotomy can be performed to improve pain and functional impairment of the wrist joint.

The aim of this study was to assess the functional outcomes of children who underwent a corrective osteotomy due to symptomatic malunion of the distal radius.

Methods: All consecutive corrective osteotomies of the distal radius for children younger than 18 years, between 2009 and 2016 were reviewed. The primary outcome was functional outcome assessed with the ABILHAND-Kids score. Secondary outcomes were QuickDASH score, range of motion, complications and radiological outcomes.

Results and Conclusions: A total of 13 patients with a median age of 13 years [IQR 12.5-16] were included. The median time to follow-up was 31 months [IQR 26-51]. The median ABILHAND-Kids score was 42 (range 37-42) and median QuickDASH was zero (range 0-39). Range of motion did not differ significantly between the injured and the uninjured side for all parameters. One patient had a nonunion requiring additional operative treatment. The postoperative radiological parameters showed an improvement of radial inclination, radial height, ulnar variance, dorsal tilt, and dorsal tilt.

Corrective osteotomy for children is an effective method for treating symptomatic malunions of the distal radius.