Arthroscopic Resection Arthroplasty for Malunited Intra-Articular Distal Radius Fractures

del Piñal F, Klausmeyer M, Thams C, et al (Hosp Mutua Montañesa, Santander, Spain) J Hand Surg 37A:2447-2455, 2012^§

Abstract

Purpose

Cartilage damage of the carpals is a contraindication for corrective osteotomy of the malunited intra-articular distal radius fracture and typically is treated in the symptomatic patient with a salvage procedure. Here, we present our experience and early results with arthroscopic resection arthroplasty of the radiocarpal joint.

Methods

We treated 10 patients (age, 17–68 y; average, 53 y) who had intra-articular malunion of the distal radius with mirror erosion on the carpals. The original fracture occurred 4 to 36 months (average, 9 mo) before our intervention. We performed arthroscopic arthrolysis and resected the offending portion of the radial malunited fragment, eliminating the stepoff and creating a smoother joint surface. Range of motion was started immediately after the operation, except in 2 patients.

Results

Only gold members can continue reading. Log In or Register to continue

Share this:

• Click to share on Twitter (Opens in new window)
• Click to share on Facebook (Opens in new window)

Related

Related posts:

of the Wrist and Associated Triangular Fibrocartilage Lesions: A Prospective Study in Arthroscopically-treated Patients of Sensory Reeducation Programs on Functional Hand Sensibility after Median and Ulnar Repair: A Systematic Review Biomechanical Comparison of 3 Loop Suture Materials in a 6-Strand Flexor Tendon Repair Technique interphalangeal joint replacement in patients with arthritis of the hand: A meta-analysis Cost-Effectiveness of Single-Row Compared with Double-Row Arthroscopic Rotator Cuff Repair of the Brief International Classification of Functioning, Disability, and Health (ICF) Core Set for Hand Conditions

Stay updated, free articles. Join our Telegram channel

Join