{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:30:16Z","timestamp":1763465416528,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of this study was to evaluate the results of osteotomy and distraction osteogenesis using Ilizarov circular external fixator to treat radial shortening and severe wrist deformity due to neglected post-traumatic distal radius physeal arrest. \\r\\nMethods: The study retrospectively reviewed 4 patients (4 males; average age: 16 years; range: 14 to 19 years) who underwent osteotomy and distraction osteogenesis to treat radial shortening and severe wrist deformity due to neglected distal radius physeal arrest. Mean interval between trauma and surgical intervention was 8 (range: 4 to 12) years and mean follow-up time was 83 (range: 40 to 126) months. Patients were evaluated with radiographic measurements (shortening and lengthening ratio, radioulnar joint leveling, distal radioulnar joint congruency), objective functional measurements (grip and pinch strength, range of motion measurements [ROM]) and subjective functional measurements (Disabilities of the Arm, Shoulder and Hand [DASH] questionnaire and Mayo wrist score). Statistical analysis was made using the Mann-Whitney U non-parametric test. \\r\\nResults: Radiographic measurements were obtained preoperatively and at the final follow-up. The mean shortening ratio of the radius was 14.6% (range: 9.3% to 18.7%) and mean lengthening ratio was 15.9% (range: 13.2% to 18.3%). Normal distal radioulnar joint leveling and distal radioulnar congruency resembling a joint was established in all but one patient with four millimeters of ulna plus deformity. According to the Mann-Whitney U non-parametric test, there was no statistical difference in grip and pinch power, ROM on flexion\/extension, and ulnar\/radial deviation axis between the operated and non-operated sides. There was statistically significant pronation\/supination restriction between the operated and non-operated sides (p&lt;0.04). Mean DASH score was 2.07 (range: 0.0 to 8.3) and the mean Mayo wrist score was 89 (range: 75 to 100) points. According to the Mayo wrist score, results were excellent in one patient, good in two patients, and satisfactory in one patient. \\r\\nConclusion: The use of distal metaphyseal osteotomy and Ilizarov distraction osteogenesis is a viable treatment method for neglected physeal fractures of the distal radius as it establishes acceptable deformity correction and a functional wrist joint.\n\n\n\u00d6zet\n\nAma\u00e7: \u00c7al\u0131\u015fmam\u0131z\u0131n amac\u0131, travma sonras\u0131 ihmal edilmi\u015f radius distal u\u00e7 fizis yaralanmas\u0131na ba\u011fl\u0131 radius k\u0131sal\u0131\u011f\u0131n\u0131n neden oldu\u011fu ileri el bilek eklemi \u015fekil bozukluklar\u0131n\u0131n tedavisinde osteotomi ve \u0130lizarov eksternal fiksat\u00f6r ile germe osteogenezi tedavisinin sonu\u00e7lar\u0131n\u0131n incelenmesi idi. \\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmada hastalar geriye d\u00f6n\u00fck olarak incelendi. Cerrahi uygulama esnas\u0131nda ortalama ya\u015f\u0131 16 (da\u011f\u0131l\u0131m: 14-19) olan 4 hasta \u00e7al\u0131\u015fmaya al\u0131nd\u0131. Fizis yaralanmas\u0131na neden olan travma ile cerrahi aras\u0131ndaki s\u00fcre ortalama 8 (da\u011f\u0131l\u0131m: 4-12) y\u0131l idi. Ortalama takip s\u00fcresi 83 (da\u011f\u0131l\u0131m: 40-126) ayd\u0131. Hastalar radyolojik \u00f6l\u00e7\u00fcmler (k\u0131sal\u0131k oran\u0131, uzatma oran\u0131, radyoulnar eklem seviyesi e\u015fitlenmesi ve distal radyoulnar eklem uyumu), objektif fonksiyonel \u00f6l\u00e7\u00fcmler (kavrama kuvveti, \u00e7imdik kuvveti ve eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131 (range of motion [ROM] \u00f6l\u00e7\u00fcmleri) ve subjektif fonksiyonel \u00f6l\u00e7\u00fcmler (Mayo el bile\u011fi derecelendirmesi ve Disabilities of the Arm, Shoulder and Hand [DASH] anketi) ile de\u011ferlendirildiler. Ara\u015ft\u0131rmam\u0131zda parametrik test varsay\u0131mlar\u0131 yerine getirilmedi\u011finden dolay\u0131 non-parametrik test olan Mann-Whitney U testi uyguland\u0131. \\r\\nBulgular: Radyolojik \u00f6l\u00e7\u00fcm de\u011ferleri cerrahi \u00f6ncesi ve cerrahi sonras\u0131 son kontrolde elde edildi. Radiusun cerrahi \u00f6ncesi ortalama k\u0131sal\u0131k oran\u0131 %14.6 (da\u011f\u0131l\u0131m: %9.3-%18.7), ortalama uzatma oran\u0131 %15.9 (da\u011f\u0131l\u0131m: %13.2-%18.3) idi. Bir hastada distal radyoulnar eklem uyumu sa\u011flansa da seviye e\u015fitlenmesi tam olarak sa\u011flanamad\u0131 (4 mm ulna pozitif varyans). Objektif fonksiyonel \u00f6l\u00e7\u00fcmlerde kavrama kuvveti, \u00e7imdik kuvveti, radyal ve ulnar deviyasyonda el bilek ROM\u2019unda cerrahi uygulanmayan taraf ile anlaml\u0131 bir fark saptanmad\u0131. Supinasyon ve pronasyon hareket a\u00e7\u0131kl\u0131\u011f\u0131n\u0131n ise cerrahi uygulanmayan tarafa g\u00f6re anlaml\u0131 \u00f6l\u00e7\u00fcde etkilendi\u011fi g\u00f6zlendi (p&lt;0.04). Subjektif \u00f6l\u00e7\u00fcmlerde Mayo el bile\u011fi skoru ortalama 89 (da\u011f\u0131l\u0131m: 75-100), ortalama DASH skoru 2.07 (da\u011f\u0131l\u0131m: 0.0-8.3) olarak saptand\u0131. Mayo el bile\u011fi derecelendirmesine g\u00f6re bir hastada m\u00fckemmel, iki hastada iyi, bir hastada ise orta sonu\u00e7 al\u0131nd\u0131. \\r\\n\u00c7\u0131kar\u0131mlar: Distal metafizer osteotomi ve \u0130lizarov germe osteogenezi ihmal edilmi\u015f distal radius fizis yaralanmas\u0131na ba\u011fl\u0131 olu\u015fan el bilek eklemi \u015fekil ve fonksiyon bozukluklar\u0131n\u0131n tedavisinde uzun vadede tatminkar sonu\u00e7lar vermektedir.<\/jats:p>","DOI":"10.3944\/aott.2011.2574","type":"journal-article","created":{"date-parts":[[2012,1,24]],"date-time":"2012-01-24T06:02:26Z","timestamp":1327384946000},"page":"406-411","source":"Crossref","is-referenced-by-count":10,"title":["Deformity correction by Ilizarov distraction osteogenesis after distal radius physeal arrest"],"prefix":"10.5152","volume":"45","author":[{"given":"Hakan","family":"Gundes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Levent","family":"Buluc","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Sahin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tugrul","family":"Alici","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2534\/2490","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:27:47Z","timestamp":1763465267000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2534"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2011,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2011.2574","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}