OBJECTIVE: The aim of this study was to evaluate the results of osteotomy and distraction osteogenesis using Ilizarov circular external fixator to treat radial shortening and severe @entity85 due to neglected post-traumatic distal radius physeal arrest. METHODS: The study retrospectively reviewed 4 @entity1 (4 males; average age: 16 years; range: 14 to 19 years) who underwent osteotomy and distraction osteogenesis to treat radial shortening and severe @entity85 due to neglected distal radius physeal arrest. Mean interval between @entity130 and surgical intervention was 8 (range: 4 to 12) years and mean follow-up time was 83 (range: 40 to 126) months. @entity1 were evaluated with radiographic measurements (shortening and lengthening ratio, radioulnar joint leveling, distal radioulnar joint congruency), objective functional measurements (grip and pinch strength, range of motion measurements [ROM]) and subjective functional measurements (Disabilities of the Arm, Shoulder and Hand [DASH] questionnaire and Mayo wrist score). Statistical analysis was made using the Mann-Whitney U non-parametric test. RESULTS: Radiographic measurements were obtained preoperatively and at the final follow-up. The mean shortening ratio of the radius was 14.6% (range: 9.3% to 18.7%) and mean lengthening ratio was 15.9% (range: 13.2% to 18.3%). Normal distal radioulnar joint leveling and distal radioulnar congruency resembling a joint was established in all but one @entity1 with four millimeters of ulna @entity85 . According to the Mann-Whitney U non-parametric test, there was no statistical difference in grip and pinch power, ROM on flexion/extension, and ulnar/radial deviation axis between the operated and non-operated sides. There was statistically significant pronation/supination restriction between the operated and non-operated sides (p<0.04). Mean DASH score was 2.07 (range: 0.0 to 8.3) and the mean Mayo wrist score was 89 (range: 75 to 100) points. According to the Mayo wrist score, results were excellent in one @entity1 , good in two @entity1 , and satisfactory in one @entity1 . CONCLUSION: The use of distal metaphyseal osteotomy and Ilizarov distraction osteogenesis is a viable treatment method for neglected physeal fractures of the distal radius as it establishes acceptable deformity correction and a functional wrist joint.

XXXX correction by Ilizarov distraction osteogenesis after distal radius physeal arrest.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity85 :: ('MESH:D009140', 'Disease') :: ['wrist deformity', 'plus deformity'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity85 :: (MESH:D009140,Disease) :: ['Deformity']
