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Intraarticular Osteotomy of Distal Radial Malunions

Failure to reduce intraarticular fractures of the distal radius to less than 2 mm of residual articular incongruity often will lead to posttraumatic arthrosis. Intraarticular osteotomy of the distal radius was performed for intraarticular malunions with a step greater than 2 mm in the distal radial articular surface, in the absence of arthrosis. The technique involves careful recreation of the fracture into the joint and rigid internal fixation of the osteotomy site. Four patients were followed up at an average of 23 months postoperatively (range, 12-43 months). All patients treated with this operation were satisfied with their results and their wrists were functioning well at the time of review. All had good or excellent Gartland and Werley functional wrist scores. Further followup is required to document the long term outcome of these patients.