Distal Radius Osteotomy - For Malunited Fracture

Description

This video showcases a detailed demonstration of a distal radius corrective osteotomy performed by Bijayendra Singh. The procedure focuses on a 32-year-old female patient who suffered from a malunion of her right distal radius after an initial fracture treatment involving manipulation and percutaneous fixation. Subsequently, she presented with pain, stiffness, and a limited range of wrist motion, prompting the need for corrective surgery after conservative management with hand therapy.



The video guides viewers through the surgical process step-by-step, including preoperative assessments, the use of an arm tourniquet and dorsal approach, skin incision techniques, and the intricacies of bone dissection to reach the malunion site. Key surgical strategies such as using a disposable tourniquet for optimal hemostasis, careful soft tissue management to avoid damaging tendons, and employing imaging to confirm the osteotomy position illustrate the thorough and methodical approach taken.



Specific techniques including the assessment of joint lines, the use of k-wires for stability, and the implantation of bone grafts to correct the alignment of the radius are highlighted. The importance of double plating for added stability—especially to prevent nonunion—is discussed, emphasizing proper screw placement and plate alignment. Postoperative results are shown, demonstrating regained range of motion, with radiographs reflecting successful bone healing.



The video concludes with an encouragement to subscribe for updates on upper limb procedures and an invitation for viewers to leave feedback, reinforcing the educational nature of the content.

DOI: 10.1302/3114-240573

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