Correction of malunited distal radius fractures by osteotomy and radiopalmar interposition of a pelvic crest bone wedge. A retrospective study of 42 patients

The retrospective study included 42 patients who have been treated with a p almar opening wedge osteotomy after malunion of distal radius fracture.31 p atients could be reexamined clinically and radiologically. The corrective o steotomy on the distal radius was done only radiopalmar with an insertion o f a corticocancellous iliac graft. Radiological and functional findings as well as the subjective judgement of the patient have been commented pre- an d after surgically according to the assessment scheme of Pechlaner and were then compared with the contra lateral wrist. The evaluation of the x-ray p ictures showed an improvement from 3.7 to 1.9 points, the functional improv ement from 3.7 to 2.6 points. The improvement of the subjective complaints results in a diminution of 3.3 to 2.2 points.