{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T19:53:12Z","timestamp":1785268392325,"version":"3.55.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: Early correction of malunion of distal radius fractures may be necessary in young, active patients. The aim of this study was to report the advantages and disadvantages of early correction of distal radius malunion.\\r\\nMethods: Eleven patients (10 male, 1 female; average age 36 years, range: 20 to 54 years) with nascent malunion of distal radius fractures were included in this study. The malunions occurred after initial conservative treatment of unstable distal radius fractures. Mean interval between injury and corrective surgery was 12 (range: 8 to 15) weeks. Two patients had intra- and extra-articular malunion and 9 had an extra-articular malunion. Volar correction was made in seven patients and dorsal correction in four. Results were evaluated radiologically and functionally using the Mayo wrist score. \\r\\nResults: Bony healing was established after correctional osteotomies at an average of 8 (range: 5 to 16) weeks. The average preoperative dorsal deformity was 28\u00b0 and was corrected to 4\u00b0 of volar tilt postoperatively. Patients had a positive ulnar variance with an average of 5 mm initially and less than 1 mm postoperatively. Radial inclination was corrected from an average of 9\u00b0 preoperatively to an average of 20\u00b0 and the average postoperative Mayo wrist score was 82.5. Tenotomy of brachioradialis was useful for the correction of radial inclination, especially in old cases. Structural (corticocancellous) grafting was used in one patient. All patients returned to their previous functional level. \\r\\nConclusion: Advantages of early corrective osteotomy include anatomic restoration at the original fracture line, a shortened healing period and a decreased need for structural bone grafting. Disadvantages are that the recreation of the original fracture line is technically demanding and patients must be cooperative to achieve a successful outcome.\n\n\u00d6zet\n\nAma\u00e7: Gen\u00e7 ve aktif ki\u015filerde, olgunla\u015fmam\u0131\u015f radius distal u\u00e7 yanl\u0131\u015f kaynamalar\u0131n\u0131n erken d\u00f6nemde d\u00fczeltilmesi gerekebilir. Bu \u00e7al\u0131\u015fman\u0131n amac\u0131 olgunla\u015fmam\u0131\u015f distal radius yanl\u0131\u015f kaynamalar\u0131nda erken cerrahi d\u00fczeltmenin avantaj ve dezavantajlar\u0131n\u0131 de\u011ferlendirmekti.\\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmaya olgunla\u015fmam\u0131\u015f distal radius yanl\u0131\u015f kaynamas\u0131 bulunan, gen\u00e7 ve aktif olan 11 hasta (10 erkek, 1 kad\u0131n; ortalama ya\u015f: 36, da\u011f\u0131l\u0131m: 20-54 ya\u015f) al\u0131nd\u0131. Ba\u015flang\u0131\u00e7ta instabilite g\u00f6steren radius distal u\u00e7 k\u0131r\u0131klar\u0131n\u0131n konservatif tedavi ile takibi sonucunda yanl\u0131\u015f kaynamalar geli\u015fmi\u015fti. Cerrahi d\u00fczeltmeye kadar ge\u00e7en ortalama s\u00fcre 12 (da\u011f\u0131l\u0131m: 8-15) hafta idi. \u0130ki olguda eklem i\u00e7i ve d\u0131\u015f\u0131, 9 olguda ise eklem d\u0131\u015f\u0131 deformite mevcuttu. Yedi olguda volar, di\u011fer 4 olguda dorsal d\u00fczeltme uyguland\u0131. Sonu\u00e7lar radyolojik olarak ve i\u015flevsellik a\u00e7\u0131s\u0131ndan Mayo el bile\u011fi skoru kullan\u0131larak de\u011ferlendirildi. \\r\\nBulgular: D\u00fczeltici osteotomiler sonras\u0131 ortalama 8 (da\u011f\u0131l\u0131m: 5-16) haftada tam kaynama g\u00f6r\u00fcld\u00fc. Ameliyattan \u00f6nce ortalama 28\u00b0 olan dorsal deformite, ortalama 4\u00b0 volar tilt olacak \u015fekilde d\u00fczeltildi. Daha \u00f6nce ortalama 5 mm olan ulnar pozitif varyans, ortalama 1 mm alt\u0131na indirilebildi. Ortalama 9\u00b0 olan radial e\u011fim, ortalama 20\u00b0 olacak \u015fekilde d\u00fczeltildi. Mayo el bile\u011fi skoru ortalamas\u0131 82.5 olarak \u00f6l\u00e7\u00fcld\u00fc. Radial e\u011fimin d\u00fczeltilmesinde brakiyoradialis tenotomisi uygulamas\u0131n\u0131n ge\u00e7 olgularda gerekli oldu\u011fu saptand\u0131. Bir olguda yap\u0131sal (kortikokansell\u00f6z) greft ihtiyac\u0131 oldu. T\u00fcm olgular k\u0131r\u0131k \u00f6ncesi fonksiyonel seviyelerine k\u0131s\u0131tlama olmaks\u0131z\u0131n geri d\u00f6nebildiler. \\r\\n\u00c7\u0131kar\u0131mlar: Olgunla\u015fmam\u0131\u015f yanl\u0131\u015f kaynamalarda erken d\u00fczeltici osteotominin avantajlar\u0131 k\u0131r\u0131k hatt\u0131ndan anatomik d\u00fczeltmenin yap\u0131labilmesi, iyile\u015fme s\u00fcresinin k\u0131salt\u0131lmas\u0131 ve yap\u0131sal greft ihtiyac\u0131n\u0131n belirgin olarak azalm\u0131\u015f olmas\u0131d\u0131r. Dezavantajlar\u0131 aras\u0131nda ise k\u0131r\u0131k hatt\u0131n\u0131n tespit edilerek yeniden olu\u015fturulmas\u0131n\u0131n teknik zorlu\u011fu ve tatmin edici fonksiyonel sonu\u00e7 i\u00e7in istekli ve uyumlu hastalar\u0131n se\u00e7ilmesi gereklili\u011fidir.<\/jats:p>","DOI":"10.3944\/aott.2012.2603","type":"journal-article","created":{"date-parts":[[2012,3,27]],"date-time":"2012-03-27T15:17:41Z","timestamp":1332861461000},"page":"30-34","source":"Crossref","is-referenced-by-count":12,"title":["Correction of nascent malunion of distal radius fractures"],"prefix":"10.5152","volume":"46","author":[{"given":"S.","family":"Sinan Bilgin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Armangil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"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\/2575\/2531","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:27:30Z","timestamp":1763465250000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2575"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2012,1,1]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2012.2603","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}