The Journal of Bone and Joint Surgery, Vol 70, Issue 10 1538-1551, Copyright © 1988 by Journal of Bone and Joint Surgery, Inc
Radial osteotomy and Bowers arthroplasty for malunited fractures of the distal end of the radius
DL Fernandez
Department of Surgery, Kantonsspital Aarau, Switzerland.
Radial osteotomy and hemiresection arthroplasty was performed in fifteen
patients who had malunion of a fracture of the distal end of the radius
with symptoms predominantly in the radio-ulnar joint and limited rotation
of the forearm. Postoperatively, all of the patients had improved rotation
and stability of the distal radio-ulnar joint, as well as satisfactory
relief of pain. Over-all, grip strength increased an average of 30 per
cent, and every patient had substantial improvement in function. The result
was very good in four patients, good in eight, and fair in three.