Work

Combined radial closing-wedge osteotomy and ulnar shortening osteotomy for distal radius malunion

Year: 2025

Type: article

Abstract: PURPOSE: Distal radius malunion alters wrist biomechanics, leading to pain, stiffness, and functional impairment. Various corrective osteotomy techniques exist. The aim of this study was to evaluate the functional outcomes of a combined radial closing-wedge osteotomy and ulnar shortening osteotomy in the treatment of distal radius malunions. MATERIALS AND METHODS: We retrospectively reviewed 20 patients who underwent combined radial closing-wedge osteotomy and ulnar shortening osteotomy for symptomatic distal radius malunions. Functional outcomes, grip strength, range of motion, and radiographic parameters were analyzed. RESULTS: Surgery significantly improved supination (20°-80°), flexion (40°-60°), extension (50°-65°), and grip strength (12 kg-22 kg). Ulnar variance correction was achieved. Complications occurred in four cases, with three requiring revision surgery. DISCUSSION: Combined radial closing-wedge osteotomy and ulnar shortening osteotomy effectively restores wrist function while avoiding graft-related complications. This approach provides an alternative to opening-wedge osteotomies for distal radius malunions. LEVEL OF EVIDENCE: IV.

Source: Hand surgery & rehabilitation

DOI: 10.1016/j.hansur.2025.102207

Authors: Arnaud Walch, Sabine Pillot, Thais Galissard, Aram Gazarian, Thibault Druel

Institution: Hôpital Edouard Herriot

Language: English

Topic: Orthopedic Surgery and Rehabilitation

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,140