Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Sign In to gain access to subscriptions and/or personal tools.
Journal of Hand Surgery (British and European Volume)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by EL-KAREF, E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by EL-KAREF, E.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Articles

Staged Reconstruction for Malunited Fractures of the Distal Radius

E. EL-KAREF

From the Department of Orthopaedics, El-Hadra University Hospital, El-Hadra, 21557, Ambrusu, Alexandria, Egypt

Correspondence: Essam El-Karef, MD, Assistant Professor in Orthopaedic Surgery and Traumatology, 203 Thiebah Street (26B), Sporting, Alexandria, Egypt. Tel.: +2-354-55-374; fax: +2-35410240; E-mail: elkaref{at}hotmail.com

This prospective study assessed the outcomes of 26 symptomatic malunited distal radial fractures which were treated with an opening wedge corrective osteotomy and bone grafting with rigid fixation. An ulnar shortening osteotomy was subsequently required as a second-stage operation in five cases to restore normal ulnar variance. A wrist arthroscopy was indicated as a third stage procedure with persistent ulnar sided wrist pain in order to address central tears of the triangular fibrocartilage.

Satisfactory functional scores were achieved by 20 of the 26 patients after distal radial osteotomy alone and, 24 of the 26 after subsequent ulnar shortening osteotomies and arthroscopy when necessary. The one, two or three stage concept of reconstructing the malunited distal end radius could optimise the outcome rather than using a single-stage strategy.

Key Words: radius • osteotomy • malunion • ulnar shortening • arthroscopy

Journal of Hand Surgery (British and European Volume), Vol. 30, No. 1, 73-78 (2005)
DOI: 10.1016/J.JHSB.2004.03.016
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 J Hand Surg Eur VolHome page
H. S. GONG, Y. W. ROH, J. H. OH, Y. H. LEE, M. S. CHUNG, and G. H. BAEK
Computed Tomographic Assessment of Reduction of the Distal Radioulnar Joint by Gradual Lengthening of the Radius
J Hand Surg Eur Vol., June 1, 2009; 34(3): 391 - 396.
[Abstract] [Full Text] [PDF]