Volar Osteotomy for Distal Radius Malunion - Dr. Ashok Gavaskar

Description

This educational program showcases the volar hinge osteotomy combined with ulnar shortening osteotomy aimed at correcting extra-articular dorsal malunion of the distal radius. The presentation discusses the prevalence of malunion following distal radius fractures, focusing primarily on extra-articular deformities that often manifest as asymptomatic in older patients, while younger individuals may experience significant disability, necessitating surgical intervention.



The program highlights the surgical techniques employed for osteotomy corrections, emphasizing indications, contraindications, and detailed procedural steps. A surgical technique video features a 52-year-old female patient presenting with ulnar-sided wrist pain, reduced motion, and adaptive carpal instability stemming from a prior distal radius fracture treated with a cast.



The technique showcases a volar locking plate's advantages in providing robust fixation while minimizing soft tissue complications. Detailed descriptions of the surgical approach, including tendon tenotomies, and the careful execution of osteotomies at pre-planned levels parallel to the articular surface are provided. The outcomes are favorable, demonstrating significant improvements in radiographic parameters, joint motion, and patient satisfaction post-surgery, validated by follow-up results. The presentation concludes by reviewing existing literature on the effectiveness of volar versus dorsal osteotomies, establishing a comprehensive understanding of the volar hinge osteotomy technique's benefits in clinical practice.

Specialties