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Journal of Hand Surgery (British and European Volume)
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Articles

Corrective Osteotomies after Injuries of the Distal Radial Physis in Children

L. M. HOVE
L. B. ENGESÆTER

From the Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway

Correspondence: L.M. Hove MD PhD, Department of Orthopaedic Surgery, Haukeland University Hospital N-5021 Bergen, Norway

Six children had corrective osteotomies of the distal forearm because of growth disturbance from post-traumatic closure of the distal radial physis. Lengthening osteotomy of the radius was performed in three patients with grafts from the iliac crest. All osteotomies healed in a satisfactory position. Three patients had only moderate mal-angulation of the radius and were treated by shortening of the ulna. The median postoperative palmar angulation of the distal radius was 4 (0–13)°, the radial inclination 22 (15–28)°, and the ulnar variance was –2 (–4 – +2) mm. The postoperative pain relief was complete in all patients and the total range of motion was 96 (93–100)% compared with the opposite side.

Journal of Hand Surgery (British and European Volume), Vol. 22, No. 6, 699-704 (1997)
DOI: 10.1016/S0266-7681(97)80428-7
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