{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T10:13:50Z","timestamp":1793096030993,"version":"4.5.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>Corrective osteotomy for a malunited distal radial fracture (DRF) can be challenging. Three-dimensional printing techniques can be used to produce patient specific implants (PSIs). Theoretically, this technique improves accuracy of reconstruction and therefore patient-related outcomes. The aim of this retrospective cohort study was to compare pre- and postoperative patient-rated functional and radiological outcomes following corrective osteotomy of 47 malunited DRFs with PSIs. The primary outcome was the difference in Patient-Rated Wrist Hand Evaluation score (PRWHE). The median PRWHE improved from 68 (IQR: 60 to 77) to 17 (IQR: 7 to 30) after a median follow-up of 15 months in 32 patients. The mean preoperative dorsal tilt of \u221215\u00b0 (SD: \u22128), improved to 7\u00b0 (SD: 7) palmar tilt postoperatively in 46 patients. Preoperatively, 28 patients exhibited radiocarpal malalignment, which decreased to five postoperatively. Corrective osteotomy of a malunited DRF with a PSI can lead to improved PRWHE, range of motion and radiological outcomes.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Level of evidence:<\/jats:bold>\n                    IV\n                  <\/jats:p>","DOI":"10.1177\/17531934251362063","type":"journal-article","created":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T02:51:26Z","timestamp":1754016686000},"page":"165-172","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Outcome of corrective osteotomies of the distal radius using three-dimensional-printed patient-specific implants"],"prefix":"10.1177","volume":"51","author":[{"given":"Frederike","family":"Raad","sequence":"first","affiliation":[{"name":"Department of Hand and Wrist Surgery, Maasstad Hospital, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kennard","family":"Harmsen","sequence":"additional","affiliation":[{"name":"Xpert Clinics, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.P.","family":"Beeres","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, Luzerner Kantonsspital, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels W.L.","family":"Schep","sequence":"additional","affiliation":[{"name":"Department of hand and wrist surgery, Maasstad Hospital, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/17531934241307538"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.07.013"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000223994.79894.17"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11548-021-02320-5"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2015.12.022"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668050-00003"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0894-1130(96)80076-7"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(92)90120-Q"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.01.045"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.18.00693"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2019.11.005"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.99B3.35819"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(10)80061-9"},{"key":"e_1_3_3_15_1","article-title":"[Malunion of the distal radius: Correction with a 3D-printed patient-specific plate]","volume":"25","author":"Raad F","year":"2020","unstructured":"Raad F, Schep NWL. 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