Medical Journal of the Islamic Republic Of Iran

en Treatment of neglected mal:union: of the distal radius: a cases series study Orthopedic Surgery Orthopedic Surgery Original Research Original Research Background: Mal:::union::: is the most common complication following distal radius fractures. Aim of this study was to evaluate the results of distal radius corrective osteotomy and plate fixation by dorsal approach in the mal:::union:::.<o:p /> Methods: In this retrospective study, 14 patients with neglected distal radius mal:::union::: from 2005 to 2011 were studied. All patients were treated with an opening wedge osteotomy with a dorsal plate and cancellous bone grafting. Radiological and clinical measurements were performed pre and postoperatively. All patients were followed at least for two years.<o:p /> Results: Fourteen patients with a mean age of 42.5±10.2 years including 2 females (14.2%) and 12 males (85.8%) were studied. Radiological healing was achieved in all osteotomies at a mean of 11.5 (range: 11 to 14) weeks. There were significant differences between wrist function and radiological findings before and after treatment. Following the operation, all patients were relieved of pain. There were not any complications.<o:p /> Conclusion: Based on our findings, dorsal approach for osteotomy and plate insertion is an effective approach with good final results and no major complication for the treatment of distal radius mal:::union:::.<o:p /> Osteotomy, Radius Fracture, Malunited fractures. 45 49 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-612&slc_lang=en&sid=1 Asghar Elmi elmimail@yahoo.com 200319475328460013023 200319475328460013023 No Shohada Hospital, Tabriz University of Medical Sciences, Tabriz, Iran. Ali Tabrizi ali.tab.ms@gmail.com 200319475328460013024 200319475328460013024 Yes Shohada Hospital, Tabriz University of Medical Sciences, Tabriz, Iran. Alireza Rouhani Rouhani.m.d@gmail.com 200319475328460013025 200319475328460013025 No Shohada Hospital, Tabriz University of Medical Sciences, Tabriz, Iran. Fardin Mirzatolouei fardin_tolouei@umsu.ac.ir 200319475328460013026 200319475328460013026 No Motahari Hospital, Urumieh University of Medical Sciences, Urumieh, Iran.