Salvage procedure after malunited distal radius fractures and management of pain and stiffness

Arch Orthop Trauma Surg. 2020 May;140(5):697-705. doi: 10.1007/s00402-020-03369-8. Epub 2020 Mar 19.

Abstract

Indications for surgical treatment of distal radius fractures (DRF) remain controversial in the literature, especially in elderly patients. Complication rates after operatively treated DRF are low and well documented. These include malunion, degenerative osteoarthritis in the radiocarpal joint and subsequently pain and impaired hand function. If conservative treatment fails then salvage procedures are necessary. This review summarizes the therapeutic options available to treat degenerative osteoarthritis after malunited distal radius fractures, regardless of the initial operative or conservative treatment.

Keywords: Distal radius fracture; Malunion; Partial wrist fusion; Radioscapholunate arthrodesis; Salvage procedure.

Publication types

  • Review

MeSH terms

  • Fractures, Malunited / complications
  • Fractures, Malunited / physiopathology
  • Fractures, Malunited / surgery*
  • Humans
  • Pain / etiology*
  • Pain / surgery
  • Radius Fractures / complications
  • Radius Fractures / physiopathology
  • Radius Fractures / surgery*
  • Range of Motion, Articular
  • Reoperation
  • Salvage Therapy / methods*
  • Wrist Joint / diagnostic imaging
  • Wrist Joint / physiopathology
  • Wrist Joint / surgery*