The Dorsal Periosteal Curtain for Distal Radius Osteotomy Via the Volar Approach. Issue 3 (September 2021)
- Record Type:
- Journal Article
- Title:
- The Dorsal Periosteal Curtain for Distal Radius Osteotomy Via the Volar Approach. Issue 3 (September 2021)
- Main Title:
- The Dorsal Periosteal Curtain for Distal Radius Osteotomy Via the Volar Approach
- Authors:
- Potter, J. Alexa
Ross, Mark - Abstract:
- Abstract : Volar wedge osteotomy and angle stable volar plating is now considered a standard approach for correction of distal radius malunion. In previous descriptions of the technique, soft tissue release has been performed with periosteal incision in line with the bony osteotomy. We present a technique whereby the dorsal periosteum is incised more proximally creating a dorsal vascularized periosteal "curtain." Our technique has several advantages including systematic release of restraining soft tissues to allow better distraction and reduction of the malunion; a dorsal periosteal curtain of vascular tissue with which to contain bone graft, protect extensor tendons and expedite healing; and better access to locally available bone graft. The previously described rotation-advancement of pronator quadratus is also used for plate coverage. We have found this technique straightforward to execute and teach, and useful in mitigating against some of the potential risks of the standard technique.
- Is Part Of:
- Techniques in hand & upper extremity surgery. Volume 25:Issue 3(2021)
- Journal:
- Techniques in hand & upper extremity surgery
- Issue:
- Volume 25:Issue 3(2021)
- Issue Display:
- Volume 25, Issue 3 (2021)
- Year:
- 2021
- Volume:
- 25
- Issue:
- 3
- Issue Sort Value:
- 2021-0025-0003-0000
- Page Start:
- Page End:
- Publication Date:
- 2021-09
- Subjects:
- distal radius malunion -- distal radius osteotomy -- dorsal periosteal curtain -- soft tissue release -- periosteal release -- bone graft
Hand -- Surgery -- Periodicals
Arm -- Surgery -- Periodicals
617.575059 - Journal URLs:
- http://journals.lww.com/techhandsurg/pages/default.aspx ↗
http://journals.lww.com ↗
http://www.lww.com/Product/1089-3393 ↗ - DOI:
- 10.1097/BTH.0000000000000329 ↗
- Languages:
- English
- ISSNs:
- 1089-3393
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 8745.101000
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 24938.xml