Haase Steven C, Chung Kevin C
Section of Plastic Surgery, University of Michigan Medical School, Ann Arbor, MI 48109-5340, USA.
Hand Clin. 2012 May;28(2):207-16. doi: 10.1016/j.hcl.2012.03.008. Epub 2012 Apr 13.
Despite encouraging results from small case series, correction of distal radius malunion remains a challenging procedure with uncertain outcomes. The most appropriate treatment for a distal radius malunion is prevention. If a symptomatic malunion is discovered, correction should be undertaken as early as possible. It is recommended that action be taken within six months of the primary injury to decrease the negative impact of soft-tissue contracture on the eventual reconstruction. Although some patients complain about residual problems after malunion surgery, corrective surgery has been shown to improve both radiographic and functional outcomes, and may prevent future secondary problems.
尽管小型病例系列研究取得了令人鼓舞的结果，但桡骨远端畸形愈合的矫正仍然是一个具有挑战性的手术，其结果尚不确定。桡骨远端畸形愈合的最合适治疗方法是预防。如果发现有症状的畸形愈合，应尽早进行矫正。建议在初次受伤后的六个月内采取行动，以减少软组织挛缩对最终重建的负面影响。虽然一些患者在畸形愈合手术后抱怨有残留问题，但矫正手术已被证明可改善影像学和功能结果，并可能预防未来的继发问题。
