{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T04:08:26Z","timestamp":1747368506790,"version":"3.40.5"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Although most malunions after pediatric distal radius fractures will remodel as the child grows, adolescent patients with severe malunion and limited growth require reduction to restore alignment. The authors technique for a mini-invasive osteotomy is presented. The apex of the malunion is approached from a single 2\u2009cm volar incision through the flexor carpi radialis sheath. Open wedge osteotomy is performed. The osteosynthesis is secured with an individually contoured T-plate. The procedure was used to correct a severe visible malunion in a 12-year-old girl. Normal alignment was achieved with no nerve or tendon injury or irritation, infection, refracture, or any other complication. Mini-invasive osteotomy with a volar plate is a feasible method for experienced hand surgeons for the treatment of distal radius malunion in adolescents.<\/jats:p>","DOI":"10.1097\/bth.0000000000000362","type":"journal-article","created":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T00:00:36Z","timestamp":1626998436000},"page":"89-92","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Mini-invasive Osteotomy for Pediatric Distal Radius Malunion"],"prefix":"10.1097","volume":"26","author":[{"given":"Markus","family":"P\u00e4\u00e4kk\u00f6nen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2022,6]]},"reference":[{"key":"R1-20250512","first-page":"447","article-title":"Pediatric distal radius fractures","volume":"66","author":"Dua","year":"2017","journal-title":"Instr Course Lect"},{"key":"R2-20250512","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1097\/BPO.0000000000001580","article-title":"Coronal remodeling potential of pediatric distal radius fractures","volume":"40","author":"Lynch","year":"2020","journal-title":"J Pediatr Orthop"},{"key":"R3-20250512","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1007\/s11832-016-0741-9","article-title":"Malunion of the distal radius in children: accurate prediction of the expected remodeling","volume":"10","author":"van der Slujis","year":"2016","journal-title":"J Child Orthop"},{"key":"R4-20250512","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1055\/s-0039-3402082","article-title":"Functional outcomes after corrective osteotomy of symptomatic distal radius malunions in children","volume":"9","author":"Selles","year":"2020","journal-title":"J Wrist Surg"},{"key":"R5-20250512","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00402-003-0585-x","article-title":"Surgical correction of deformities of the distal radius due to fractures in pediatric patients","volume":"124","author":"Meier","year":"2004","journal-title":"Arch Orthop Trauma Surg"},{"key":"R6-20250512","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/j.otsr.2011.11.012","article-title":"Early correction of paediatric malunited distal metaphyseal radius fractures using percutaneous callus osteoclasis (\u201cCalloclasis\u201d)","volume":"98","author":"Lefevre","year":"2012","journal-title":"Orthop Traumatol Surg Res"},{"key":"R7-20250512","first-page":"1049","article-title":"Pediatric distal radius fracture malunions: overview and current treatment recommendations","volume":"3","author":"Akoon","year":"2017","journal-title":"SM J Pediatr Surg"},{"key":"R8-20250512","doi-asserted-by":"crossref","first-page":"1699","DOI":"10.1007\/s00402-014-2091-8","article-title":"Think twice before re-manipulating distal metaphyseal forearm fractures in children","volume":"134","author":"Roth","year":"2014","journal-title":"Acta Orthop Trauma Surg"},{"key":"R9-20250512","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1097\/BTH.0000000000000118","article-title":"Possibility of fixation of a distal radius fracture with a volar locking plate through a 10 mm approach","volume":"20","author":"Naito","year":"2016","journal-title":"Tech Hand Up Extrem Surg"},{"key":"R10-20250512","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1016\/j.otsr.2015.07.016","article-title":"Minimally invasive osteotomy for distal radius malunion: a preliminary series of 9 cases","volume":"101","author":"Taleb","year":"2015","journal-title":"Orthop Traumatol Surg Res"},{"key":"R11-20250512","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1016\/S0363-5023(97)80112-8","article-title":"The risks of kirschner wire placement in the distal radius: a comparison of techniques","volume":"22","author":"Hochwald","year":"1997","journal-title":"J Hand Surg Am"},{"key":"R12-20250512","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1016\/j.jcot.2014.05.012","article-title":"Is there a safe zone to avoid superficial radial nerve injury with Kirschner wire fixation in the treatment of distal radius? 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