Intraarticular osteotomy of distal radial malunions

Failure to reduce intraarticular fractures of the distal radius to less than 2 mill of residual articular incongruity often will lead to posttraumatic arthrosis. Intraarticular osteotomy of the distal radius was performed for intraarticular malunions with a step greater than 2 mm in the distal radial articular surface, in the absence of arthrosis, The technique involves careful recreation of the fracture into the joint and rigid internal fixation of the osteotomy site, Four patients were followed up at an average of 23 months postoperatively (range, 12-43 months), All patient treated with this operation were satisfied with their results anti their wrists were functioning well at the time of review. Ail had good ctr excellent Gartland and Werley functional wrist scores, Further followup is required to document the long term outcome of these patients.