Corrective Osteotomy with Autogenous Bone Graft with Callus after Malunion of Distal Radius Fracture.

Abstract

Corrective osteotomy with callus filling at fracture site for malunion after distal radius fracture is a rare technique, but it achieved a favorable postoperative outcome. The patient, 66-year-old female, visited our hospital 4 months after distal radius fracture. Corrective osteotomy of the distal radius was planned aiming at improving the wrist joint function, and was performed using a volar locking plate, then the bone defect was filled with callus as autogenous bone grafting. At 12 months after surgery, left wrist joint pain and the range of motion have improved, and the Mayo wrist score was excellent. To our knowledge, there has been no study on the treatment of bone defects by filling with callus. Since favorable bone fusion was achieved with callus, this treatment method may overcome the disadvantages of autogenous bone graft, such as pain at the donor region.

• Authors: Kenji Goto, Kiyohito Naito, Yoichi Sugiyama, Mayuko Kinoshita, Nana Nagura, Hajime Kajihara, Yoshiyuki Iwase, Kazuo Kaneko
• Journal: The journal of hand surgery Asian-Pacific volume (J Hand Surg Asian Pac Vol) Vol. 23 Issue 4 Pg. 571-576 (Dec 2018) ISSN: 2424-8363 [Electronic] Singapore
• PMID: 30428805 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Bone Plates
• Bone Transplantation (methods)
• Female
• Fractures, Malunited (physiopathology, surgery)
• Humans
• Osteotomy (methods)
• Radius Fractures (physiopathology, surgery)
• Range of Motion, Articular
• Wrist Joint (physiopathology)