الفهرس 
General features of distal radius anatomy.Only 14 pages are availabe for public view
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Abstract
Background:
Among all fractures, the distal radius is one of the most widely spread fractures,
especially among the elders. Almost, eighteen percent of all orthopedic fractures occur
among people of old age.
Approximately, 25% of distal radius fractures which when managed conservatively
lead to healing with parameters that surpass acceptability criteria. The main deformities
are dorsal, palmer angulation, articular incongruity, and radius shortening.
Symptomatic malunion may be handled either with closed or open wedge osteotomy
with or without the ulnar procedure.
The purpose of the procedure is to restore the natural anatomy and the parameters of the
distal radioulnar and radiocarpal joints.
Patients and methods:
In this study, 20 patients were treated for malunited distal radius fracture from July
2017 till July 2019. 15 cases were treated with distal radius osteotomy alone and 5 cases
were treated with simultaneously ulnar shortening. The follow-up period for each patient
must not be less than six months. Follow-up included a review of patient records and
assessment by x-ray and clinical assessment.
Results:
In this study, Preoperative radiological parameters: Volar tilt mean ± SD: (-8.79±26.2),
radial inclination mean ± SD: (14.30 ± 5.24) and Radio-ulnar variance Mean ± SD: (4.74±
3.86).
Postoperative radiological parameters: Volar tilt mean ± SD: (7.82 ± 7.74), radial
inclination mean ± SD: (18.99 ± 2.63), radioulnar variance mean ± SD: (0.50 ± 0.76).
The preoperative mean ± SD total functional score (based on the point score system of
Fernandez) was 7.25 ± 1.80 (ranging from 5 to 12) points and the final postoperative mean
± SD overall functional score was 16.85 ± 1.39 (range, 14-19) points.
Conclusion:
Concurrent ulnar shortening osteotomy can be employed when problems with restoring
the radial length are anticipated.