2017-04-25
Three-dimensional virtual planning of corrective osteotomies of distal radius malunions: a systematic review and meta-analysis
Publication
Publication
The purpose of this study was to summarize and evaluate results of three-dimensional (3D-) planned corrective osteotomies of malunited distal radius fractures. 3D-planning techniques provide the possibility to address 3D-deformity that conventional planning methods might not address. We systematically searched PubMed, EMBASE and the Cochrane library for studies that performed a 3D-planned corrective osteotomy on patients with a malunited distal radius fracture. Fifteen studies with a total of 68 patients were included in the analysis. In 96% of cases, the preoperatively present palmar tilt, radial inclination and ulnar variance showed statistically significant improvement postoperatively with restoration to within 5° or 2 mm of their normal values. Mean flexion–extension, pro-supination and grip strength showed statistically significant improvement (p < 0.05). Complications were reported in 11 out of 68 patients (16%). With the current advances in 3D printing technology, 3D-planned corrective osteotomies seem a promising technique in the treatment of complex distal radius malunions. Level of evidence IV Systematic review of case series, Level IV.
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| doi.org/10.1007/s11751-017-0284-8, hdl.handle.net/1765/99466 | |
| Strategies in Trauma and Limb Reconstruction | |
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de Muinck Keizer, R. J. O., Lechner, K.M., Mulders, M., Schep, N., Eygendaal, D., & Goslings, C. (2017). Three-dimensional virtual planning of corrective osteotomies of distal radius malunions: a systematic review and meta-analysis. Strategies in Trauma and Limb Reconstruction, 1–13. doi:10.1007/s11751-017-0284-8 |
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