Deformity correction by Ilizarov distraction osteogenesis after distal radius physeal arrest

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dc.authorid0000-0002-5792-5755en_US
dc.authorid0000-0003-3450-3952en_US
dc.contributor.authorGundes, Hakan
dc.contributor.authorBuluc, Levent
dc.contributor.authorSahin, Mustafa
dc.contributor.authorAlici, Tugrul
dc.date.accessioned2024-07-12T21:44:20Z
dc.date.available2024-07-12T21:44:20Z
dc.date.issued2011en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractObjective: The aim of this study was to evaluate the results of osteotomy and distraction osteogenesis using Ilizarov circular external fixator to treat radial shortening and severe wrist deformity due to neglected post-traumatic distal radius physeal arrest. Methods: The study retrospectively reviewed 4 patients (4 males; average age: 16 years; range: 14 to 19 years) who underwent osteotomy and distraction osteogenesis to treat radial shortening and severe wrist deformity due to neglected distal radius physeal arrest. Mean interval between trauma and surgical intervention was 8 (range: 4 to 12) years and mean follow-up time was 83 (range: 40 to 126) months. Patients were evaluated with radiographic measurements (shortening and lengthening ratio, radioulnar joint leveling, distal radioulnar joint congruency), objective functional measurements (grip and pinch strength, range of motion measurements [ROM]) and subjective functional measurements (Disabilities of the Arm, Shoulder and Hand [DASH] questionnaire and Mayo wrist score). Statistical analysis was made using the Mann-Whitney U non-parametric test. Results: Radiographic measurements were obtained preoperatively and at the final follow-up. The mean shortening ratio of the radius was 14.6% (range: 9.3% to 18.7%) and mean lengthening ratio was 15.9% (range: 13.2% to 18.3%). Normal distal radioulnar joint leveling and distal radioulnar congruency resembling a joint was established in all but one patient with four millimeters of ulna plus deformity. According to the Mann-Whitney U non-parametric test, there was no statistical difference in grip and pinch power, ROM on flexion/extension, and ulnar/radial deviation axis between the operated and non-operated sides. There was statistically significant pronation/supination restriction between the operated and non-operated sides (p<0.04). Mean DASH score was 2.07 (range: 0.0 to 8.3) and the mean Mayo wrist score was 89 (range: 75 to 100) points. According to the Mayo wrist score, results were excellent in one patient, good in two patients, and satisfactory in one patient. Conclusion: The use of distal metaphyseal osteotomy and Ilizarov distraction osteogenesis is a viable treatment method for neglected physeal fractures of the distal radius as it establishes acceptable deformity correction and a functional wrist joint.en_US
dc.identifier.doi10.3944/AOTT.2011.2574
dc.identifier.endpage411en_US
dc.identifier.issn1017-995X
dc.identifier.issue6en_US
dc.identifier.pmid22245816en_US
dc.identifier.scopus2-s2.0-84856054223en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage406en_US
dc.identifier.urihttps://dx.doi.org/10.3944/AOTT.2011.2574
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7714
dc.identifier.volume45en_US
dc.identifier.wosWOS:000300530300005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGYen_US
dc.relation.ispartofACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICAen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY00057
dc.subjectDistal radius fractureen_US
dc.subjectdistraction osteogenesisen_US
dc.subjectgrowth plateen_US
dc.subjectIlizarov techniqueen_US
dc.subjectSalter-Harris fractureen_US
dc.titleDeformity correction by Ilizarov distraction osteogenesis after distal radius physeal arresten_US
dc.typeArticle
dspace.entity.typePublication

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