ArticleInternational orthopaedics2018
A comparison of corrective osteotomies using dorsal and volar fixation for malunited distal radius fractures.
Article in International orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Functional outcome of 2-D- and 3-D-guided corrective forearm osteotomies: a systematic review.The Journal of hand surgery, European volume · 2024Pooled it
- Patient-reported Outcomes and the Use of Bone Grafting in Distal Radius Osteotomy for Malunion Correction: A Systematic Review.Journal of wrist surgery · 2026Article
- Article
- Clinical and Radiographic Outcomes of Gap Osteotomy Versus Dorsal Opening Wedge Osteotomy for Extra-Articular Distal Radius Malunion and Internal Fixation Using a Volar Locking Plate Without Bone Graft.Journal of hand surgery global online · 2025Article
- 3D-assisted corrective osteotomies of the distal radius: a comparison of pre-contoured conventional implants versus patient-specific implants.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Dorsally and volarly angulated extra-articular malunions of the distal radius treated with volar corrective osteotomy and volar locking plate fixation. A case series of 19 patients with a long-term follow-up.Acta bio-medica : Atenei Parmensis · 2022Article
- Corrective Osteotomy with Volar and Dorsal Fixation for Malunion of Intra-Articular Fracture of the Distal Radius: A Retrospective Study.Orthopaedic surgery · 2022Article
- Corrective Osteotomy of Malunited Fractures of the Distal Radius Using a Combined Surgical Approach.Hand (New York, N.Y.) · 2022Article
- Open reduction through original fracture line and fixation with locking plate is a feasible approach for extra-articular distal radius fracture malunion.Joint diseases and related surgery · 2022Article
- Functional and radiological outcome of distal radius fractures stabilized by volar-locking plate with a minimum follow-up of 1 year.Archives of orthopaedic and trauma surgery · 2020Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to compare clinical results and to restore radiographic parameters of corrective osteotomy for malunited distal radius fracture using a volar locking plate with a dorsal plate.
methodsWe retrospectively studied 28 consecutive patients with symptomatic malunited distal radius fractures followed up for more than 12 months who underwent corrective osteotomy with a dorsal buttress plate (n = 9) or a volar locking plate (n = 19). Volar tilt (VT), radial inclination (RI), and ulnar variance (UV) were radiographically evaluated. Clinical examination parameters included pain, wrist and forearm ranges of motion (ROM), grip strength, and Mayo Modified Wrist Score (MMWS).
resultsThe volar group had a significantly greater VT undercorrection for - 9.4° than did the dorsal group for - 1.2° (p < 0.001). Major complications requiring plate removal occurred in six of nine patients in the dorsal group and two of 19 patients in the volar group. The complication ratio was significantly greater in the dorsal group than in the volar group (p < 0.05). Improvements in forearm and wrist ROM, grip strength, and MMWS did not differ significantly between groups.
conclusionsOpening wedge osteotomy of the radius using a volar locking plate is preferable to dorsal buttress fixation in terms of surgical and technical demands and frequency of complications, but VT correction is insufficient. Surgeons should be aware of the mismatch between the plate and the volar surface of the malunited distal radius.
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