CORRECTIVE OSTEOTOMY OF MALUNITED FRACTURE DISTAL RADIUS (SHORT TERM FOLLOW UP)

Background: Malunion distal radius involving shortening of the may result in disruption radioulnar joint, chronic pain, loss both supination and pronation, cosmetic deformity. Shortening often accompanies dorsal angulation, a relatively positive ulna variance is produced. With malunion caused by extra-articular fractures, pain develop joint secondary to abnormal stresses resulting from radial occasionally ligaments. Objective: To evaluate locked plate fixation after corrective osteotomy malunited without using graft (short term follow up). Patients Methods: Between 2018 2020, 20 patients were treated for fracture open wedge osteotomy. Follow-up included review patient records contact all are done at Al-Azhar University Hospitals. All undergoing general /local radiological examinations. have been & Volar Locked plates followed up postoperative clinical assessment including range motion, pain. Results: reported improvement work abilities. 14 gradually returned their within 3 7 months. However, 2 cases chosed return modified duties. Pain relieved 13 wrists. The remaining mild which had improved significantly. Conclusion: Outcome scores as well pre- motion grip strength tests document significant function. This allowed earlier normal activities with no recorded complications.