Khalid Masood
Combined Military Hospital Lahore, Pakistan
Title: An easy technique of corrective osteotomy for distal radial deformities
Biography
Biography: Khalid Masood
Abstract
Distal radial malunion is being treated by traditional techniques with unpredictable results. Purpose is to report our experience of special technique of corrective osteotomy followed by fixation with locking volar plate to restore best possible anatomy. 34 patients with different types of malunion were operated during last two years. Preoperative evaluation required clinical, radiological or CT-scan assessment followed by preparation of preoperative template. Under C-arm control, open wedge osteotomy was performed by directing the oscillating saw under guidance of two K-wires passed parallel to the articulating surface through two different planes (sagittal and horizontal). Additionally, cortico-cancellous iliac bone graft was used and fixed with 2.7 mm titanium fixed angle locking volar plate. Post-operative results were evaluated by radiological and clinical parameters. This technique significantly improved radiological parameters. Radial height, Radial inclination and Volar tilt improved from 7.9 mm (SD ±2.4), 17.63º (SD±3.5), -1.42º (SD±7.50) to 10.33 mm (SD±1.7), 20.39º (SD±3.7) and 10.53º (SD ±10.53) respectively. Clinically there was eminent improvement in wrist and forearm function, finger movements and grip strength. Anatomical restitution is the hall mark of this surgery which can be achieved by correct way of osteotomy. Rigid peculiarities of volar plates provide the best fixation allowing early post-operative motion with credible outcome.
