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Little is currently known on whether dorsal fixation combined with volar fixation may further improve recovery. This study aimed to evaluate the clinical value of corrective osteotomy combined with volar and dorsal plate fixation in patients with malunion of intra\u2010articular fractures of the distal radius.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seventeen patients with malunion of intra\u2010articular fractures of the distal radius treated with corrective osteotomy with volar and dorsal plate fixation from 1 January 2016 to 31 November 2018 were retrospectively analyzed. The enrolled patients included seven males and 10 females with an average age of 54.9\u2009years (range: 36\u201370\u2009years). The radiographic parameters, including the radial length, the radial inclination angle, the ulnar variance, and the volar tilt, as well as clinical outcomes, including wrist and forearm range of motion (ROM), grip strength, the Mayo Modified Wrist Score (MMWS), and the disabilities of the Arm, Shoulder, and Hand (DASH) score, were examined at 3\u2009months and 18\u00a0months after operation and compared with the preoperative state. The paired <jats:italic>t<\/jats:italic>\u2010test was used for statistical analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After corrective osteotomy combined with volar and dorsal plate fixation, all included patients were followed up for 18\u00a0months, and there was no surgical site infection. Patients reported postoperative pain due to the irritation of extensor tendon (two cases) and wrist arthritis (two cases). The radial length increased from 1.34\u2009\u00b1\u20092.34\u2009mm to 9.25\u2009\u00b1\u20092.65\u2009mm and 9.03\u2009\u00b1\u20092.47\u2009mm at 3\u2009months and 18\u00a0months postoperatively (<jats:italic>t\u2009=<\/jats:italic>\u00a08.257, 7.954, all <jats:italic>p\u2009&lt;<\/jats:italic>\u00a00.05). The radial inclination angle increased from 6.45\u00b0\u2009\u00b1\u20090.76\u00b0 to 19.35\u00b0\u2009\u00b1\u20093.43\u00b0 and 19.03\u00b0\u2009\u00b1\u20093.63\u00b0 at 3 and 18\u00a0months (<jats:italic>t\u2009=<\/jats:italic>\u00a012.517, 12.122, all <jats:italic>p\u2009&lt;<\/jats:italic>\u00a00.05). The ulnar variance decreased from 5.11\u2009\u00b1\u20090.23\u2009mm to 1.32\u2009\u00b1\u20090.31\u2009mm and 1.54\u2009\u00b1\u20090.62\u2009mm at 3 and 18\u00a0months (<jats:italic>t\u2009=<\/jats:italic>\u00a04.214, 4.895, all <jats:italic>p\u2009&lt;<\/jats:italic>\u00a00.05). The volar tilt was corrected from 4.47\u00b0\u2009\u00b1\u20093.46\u00b0 to 15.51\u00b0\u2009\u00b1\u20092.72\u00b0 and 14.12\u00b0\u2009\u00b1\u20092.41\u00b0, respectively (<jats:italic>t<\/jats:italic>\u00a0=\u200911.247, 10.432, all <jats:italic>p\u2009&lt;<\/jats:italic>\u00a00.05). Moreover, wrist ROM increased from 42.53\u00b0\u2009\u00b1\u20098.99\u00b0 to 98.70\u00b0\u2009\u00b1\u20097.61\u00b0 and 101.24\u00b0\u2009\u00b1\u20097.66\u00b0 (<jats:italic>t<\/jats:italic>\u00a0=\u200941.433, 46.627, all <jats:italic>p\u2009&lt;<\/jats:italic>\u00a00.05), while forearm ROM was increased from 94.82\u00b0\u2009\u00b1\u20096.54\u00b0 to 134.47\u00b0\u2009\u00b1\u20095.06\u00b0 and 137.24\u00b0\u2009\u00b1\u20095.52\u00b0, respectively (<jats:italic>t<\/jats:italic>\u00a0=\u200931.507, 32.584, all <jats:italic>p\u2009&lt;<\/jats:italic>\u00a00.05). Similarly, grip strength, MMWS, and DASH were also remarkably improved. There were no significant differences in the wrist and forearm ROM, grip strength, MMWS, and DASH scores between follow\u2010up at 3 and 18\u00a0months (all <jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Corrective osteotomy with volar and dorsal fixation can improve recovery of volar tilt, relieve wrist pain, restore wrist and forearm function, and increase grip strength of patients with malunion of intra\u2010articular fractures of the distal radius.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13409","type":"journal-article","created":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T08:10:54Z","timestamp":1658477454000},"page":"1751-1758","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Corrective Osteotomy with Volar and Dorsal Fixation for Malunion of Intra\u2010Articular Fracture of the Distal Radius: A Retrospective 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of Orthopaedic Surgery Liuzhou Traditional Chinese Medical Hospital  Liuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yonglin","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Liuzhou Traditional Chinese Medical Hospital  Liuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiguo","family":"Zhang","sequence":"additional","affiliation":[{"name":"Institute of Orthopaedics and Traumatology The First Affiliated Hospital of Zhejiang Chinese Medical University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengcong","family":"Zhou","sequence":"additional","affiliation":[{"name":"Institute of Orthopaedics and Traumatology The First Affiliated Hospital of Zhejiang Chinese Medical University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sai","family":"Yao","sequence":"additional","affiliation":[{"name":"Institute of 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