Abstract
Union with deformity continues to be the most common complication following fracture of the distal end of the radius.7,31,32 Malunion may be extraarticular, characterized by metaphyseal angulation and loss of radial length; intraarticular, involving distortion of the either the radiocarpal or the radioulnar joints or both; or a combination of the two.
Fractures of the radius within two inches of the wrist, where treated by the most eminent surgeons, are of very difficult management so as to avoid all deformity; indeed, more or less deformity may occur under the treatment of the most eminent surgeons, and more or less imperfection in the motion of the wrist or radius is very apt to follow for a longer or shorter time. Even when the fracture is well cured, an anterior prominence at the wrist, or near it, will sometimes result from the swelling of the soft parts.
As the above opinion of Professor Mott coincides with my own observations, both in Europe and in this city, as well as with many of our most distinguished surgical authorities, I venture to hope that it may assist in removing some of the groundless and ill-merited aspersions which are occasionally thrown on the members of our profession by the ignorant or designing. Boston Med. Surg. J. XXV, p. 289
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References
Baciu C: L’opération de Sauvé-Kapandji du traitement des cals vicieux de l’extrémité inférieure du radius. Ann Chir 31: 323–330, 1976.
Bowers WH: Distal radioulnar joint arthroplasty: The hemi-resection interposition technique. J Hand Surg 10A: 169–178, 1985.
Boyd HB, Stone MM: Resection of the distal end of the ulnar. J Bone Joint Surg 26: 313–321, 1944.
Bunnell S (ed): Surgery of the Hand. 2nd edition. Philadelphia: JB Lippincott 596: 681–682, 1948.
Campbell WC: Malunited Colles’ fractures. JAMA 109: 1105–1108, 1937.
Castaing J: Les fractures récentes de l’extremité inférieure du radius chez l’adulte. Rev Chir Orthop, 50: 581–696, 1964.
Cooney WP III, Dobyns JH, Linscheid RL: Complications of Colles’ fractures. J Bone Joint Surg [Am] 62A: 613–619, 1980.
Darrach W: Partial excision of the lower shaft of the ulnar for deformity following Colles’ fracture. Ann Surg 57: 764–765, 1913.
Desault M: Extrait d’un mémoire de M. Desault sur la luxation de l’extremité inférieure du cubitus. J Chir 1: 78, 1791.
Durman DC: An operation for correction of deformities of the wrist following fracture. J Bone Joint Surg 17: 1014–1016, 1935.
Durman DC: Malunited Colles’ fracture, abstract: Discussion of Dr. Campbell’s article. JAMA 109: 1105–1108, 1937.
Fernandez DL: Radial osteotomy and Bowers arthroplasty for malunited fractures of the distal end of the radius. J Bone Joint Surg 70A: 1538–1551, 1988.
Fernandez DL: Correction of posttraumatic wrist deformity in adults by osteotomy, bone grafting, and internal fixation. J Bone Joint Surg 4A: 1164–1178, 1982.
Fernandez DL: Correction of posttraumatic wrist deformity in adults by osteotomy, bone grafting, and internal fixation. J Bone Joint Surg 64A: 1164–1178, 1982.
Fernandez DL: Osteotomias del antebrazo distal. Indication, técnica y resultados. Acta Orthop Latinoamerica 11: 55–72, 1984.
Fernandez DL, Albrecht HU, Saxer U: Die Korrekturosteotomie am distalen Radius bei posttraumatischer Fehlstellung. Arch Orthop Unfallchir 90: 199–211, 1977.
Fernandez DL, Geissler WB: Korrektureingriffe bei Fehlstellung am distalen Radius. Z Unfallchir Med Berufskr 82: 34–44, 1989.
Forgon M, Mammel E: Unsere Korrekturosteotomie in Fehlstellung geheilter Frakturen der Speiche an der typischen Stelle. Unfall Chir 9: 318–324, 1983.
Fourrier P, Bardy A, Roche G, Cisterne JP, Chambon A: Approche d’une définition du cal vicieux du poignet. Int Orthop (SICOT) 4: 299–305, 1981.
Ghormley RK, Mroz RJ: Fractures of the wrist: A review of one hundred and seventy six cases. Surg Gynecol Obstet 55: 377–381, 1932.
Hobart MH, Kraft GL: Malunited Colles’ fracture. Am J Surg 53: 55–60, 1941.
Jupiter JB, Ruder J, Roth DA: Computer-generated bone models in the planning of osteotomy of multidirectional distal radius malunions. J Hand Surg 17A: 406–415, 1992.
Kaukone JP, Karaharju EO, Porras M: Functional recovery after fractures of the distal forearm: Analysis of radiographic and other factors affecting the outcome. Ann Chir Gyn 77: 27–31, 1988.
Kazuki K, Masakata K, Shimazu A: Pressure distribution in the radiocarpal joint measured with a densitometer designed for pressure sensitive film. J Hand Surg 16A: 401–408, 1991.
King GJ, McMurtry RY, Rubenstein JD, et al: Computerized tomography of the distal radioulnar joint. A correlation with ligamentous pathology in a cadaveric model. J Hand Surg 11A: 711–717, 1986.
Knirk JL, Jupiter JB: Intraarticular fractures of the distal end of the radius in young adults. J Bone Joint Surg [Am] 68A: 647–659, 1986.
Lichtman DM, Schneider JR, Swafford AR, et al: Ulnar midcarpal instability: Clinical and laboratory analysis. J Hand Surg 6: 515–523, 1981.
Linscheid RL, Dobyns JH, Beabout JW, et al: Traumatic instability of the wrist. Diagnosis, classification, and pathomechanics. J Bone Joint Surg [Am] 54A: 1612–1632, 1972.
Marsh JL, Vannier MW: Surface imaging from computerized tomographic scans. Surgery 94: 159–165, 1983.
Martini AK: Die sekundäre Arthrose des Handgelenkes bei der in Fehlstellung verheilten und nicht korrigierten distalen Radiusfrakturen. Aktuel Traumatol 16: 143–148, 1986.
McQueen M, Caspers J: Colles’ fracture: Does the anatomic result affect the final function? J Bone Joint Surg [Br] 70B: 649–651, 1988.
Meine J: Die Früh- und Spätkomplikationen der Radiusfraktur loco classico. Z Unfallchir Vers Med Berufsk 82: 25–32, 1989.
Merle d’Aubigné R, Joussement L: A propos du traitement des cals vicieux de l’extrémité inférieure du radius. Mem Acad Chir 71: 153–157, 1945.
Merle d’Aubigné R, Tubiana R: Séquelles de traumatismes du poignet. In: Traumatismes Anciens. Généralités Membre Supérieur. Paris: Masson, 1958, pp. 361–376.
Milch H: Cuff resection of the ulnar for malunited Colles’ fracture. J Bone Joint Surg 23: 311–313, 1941.
Moore EM: Three cases illustrating luxation of the ulnar in connection with Colles’ fracture. Med Rec NY 17: 305–308, 1880.
Mino DE, Palmer AK, Levinsohn M: The role of radiography and computerized tomography in the diagnosis of subluxation and dislocation of the distal radioulnar joint. J Hand Surg 8A: 23–31, 1983.
Palmer AK, Werner FW: Biomechanics of the distal radioulnar joint. Clin Orthop 187: 26–35, 1984.
Palmer AK, Glisson RR, Werner FW: Ulnar variance determination. J Hand Surg 7: 376–379, 1982.
Poque DJ, Viegas SF, Patterson RM, et al: Effects of distal radius fracture on wrist joint mechanics. J Hand Surg 15A: 721–727, 1990.
Posner MA, Ambrose L: Malunited Colles’ fracture. Correction with a biplanar closing wedge osteotomy. J Hand Surg 16A: 1017–1026, 1991.
Rodriguez-Megthiaz AM, Chamay A: Traitement des cals vicieux extra-articulaires du radius distal par ostéotomie d’ouverture avec interposition d’une greffe. Med Hyg 46: 2757–2765, 1988.
Sakai K, Doi K, Ihara K, et al: Carpal alignment after fractures of the distal radius, abstract. Presented at the International Symposium on the Wrist, Nagoya, Japan, 1991. p. 117.
Shaw JA, Bruno A, Paul EM: Ulnar styloid fixation in the treatment of post-traumatic instability of the radioulnar joint. A biomechanical study with clinical correlation. J Hand Surg 15A: 712–720, 1990.
Short WH, Palmer AK, Werner FW, et al: A biomechanical study of distal radius fractures. J Hand Surg 12A: 529–534, 1987.
Speed JS, Knight RA: Treatment of malunited Colles’ fractures. J Bone Joint Surg 27: 361–367, 1945.
Sauvé L, Kapandji M: Une nouvelle technique de traitement chirurgical des luxations recidivantes isolées de l’extremité cubitale inférieure. J Chir 47: 589–594, 1936.
Taleisnik J, Watson HK: Midcarpal instability caused by malunited fractures of the distal radius. J Hand Surg 9A: 350–357, 1984.
Vannier MW, Totty WG, Stevens WG, et al: Musculoskeletal application of three-dimensional surface reconstructions. Orthop Clin North Am 16: 543–555, 1985.
Villar RN, Marsh D, Rushton N: Three years after Colles’ fracture. A prospective review. J Bone Joint Surg [Am] 69B: 635–638, 1987.
Watson HK, Ryu J, Burgess RC: Matched distal ulnar resection. J Hand Surg 11A: 812–817, 1986.
Weeks PM, Vannier MW, Stevens WG, et al: Three-dimensional imaging of the wrist. J Hand Surg 10A: 32–39, 1985.
Zancolli EA: personal communication.
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Fernandez, D.L., Jupiter, J.B. (1996). Malunion of the Distal End of the Radius. In: Fractures of the Distal Radius. Springer, New York, NY. https://doi.org/10.1007/978-1-4684-0478-4_10
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