Three-Dimensional Compared with Two-Dimensional Preoperative Planning of Corrective Osteotomy for Extra-Articular Distal Radial Malunion: A Multicenter Randomized Controlled Trial

The Journal of Bone and Joint Surgery. American Volume
Geert A BuijzeJesse B Jupiter

Abstract

Malunion is the most frequent complication seen after a fracture of the distal end of the radius. The primary aim of this study was to compare patient-reported outcome measures (PROMs) after corrective osteotomy for malunited distal radial fractures with and without 3-dimensional (3D) planning and use of patient-specific surgical guides. From September 2010 to May 2015, 40 adult patients with a symptomatic extra-articular malunited distal radial fracture were randomized to 3D computer-assisted planning or conventional 2-dimensional (2D) planning for corrective osteotomy. The primary outcome was the Disabilities of the Arm, Shoulder and Hand (DASH) score. Secondary outcomes included the Patient-Rated Wrist Evaluation (PRWE) score, pain and satisfaction scores, grip strength, and radiographic measurements at 3, 6, and 12 months postoperatively. From baseline to 12 months of follow-up, the reduction in the mean DASH score was -30.7 ± 18.7 points for the 3D planning group compared with -20.1 ± 17.8 points for 2D planning (p = 0.103). Secondary functional outcome by means of the PRWE resulted in a similar reduction of -34.4 ± 22.9 points for the 3D planning group compared with -26.6 ± 18.3 points for the 2D planning group (p = 0.226...Continue Reading

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Citations

Nov 7, 2019·Orthopedics·Nathan W SkelleyRichard Ma
Feb 29, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Nicolas GerberPhilipp Fürnstahl
Jun 19, 2019·EFORT Open Reviews·Maartje MichielsenFrederik Verstreken
Mar 9, 2019·Current Reviews in Musculoskeletal Medicine·Brady T Evans, Jesse B Jupiter
Aug 29, 2020·The Journal of Craniofacial Surgery·Min ChenYan Jiang
Dec 15, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Jean-Michel Cognet, Olivier Mares
Dec 12, 2019·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Kunihiro OkaTsuyoshi Murase
Apr 25, 2020·The Journal of Hand Surgery·Lionel AthlaniGilles Dautel
Jul 15, 2021·The Journal of Hand Surgery, European Volume·Francisco Del PiñalGregory I Bain
Aug 10, 2021·Revista española de cirugía ortopédica y traumatología·M Galán-OllerosF Marco

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