Growth disturbance of the distal radial epiphysis after trauma: operative treatment by corrective radial osteotomy.

Abstract

Growth disturbance owing to partial posttraumatic closure of the distal radial physis is rare. The resulting painful, stiff wrist often requires operative treatment. Problems with the operative technique are presented in this case report; different operative techniques described in the literature are discussed. Our technique, described in the literature are discussed. Our technique, osteotomy of the distal radius with interposition of a tricortical bone graft, allows the surgeon to restore the normal longitudinal relationship between the radius and ulna and to reorient the distal radial articular surface to achieve a normal radiocarpal and radioulnar relationship. The patient experiences improved painless wrist motion as a result of this technique.