Artikel
Functional outcomes after corrective osteotomy of symptomatic distal radius malunions in children
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Veröffentlicht: | 6. Februar 2020 |
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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.