Surgical Correction of Malunited Fractures of the Distal Radius

Malunion of a distal radius fracture may result in functional limitation and pain. Reestablishing the geometry of the metaphysis and the alignment of the articular surface, restoring the relationship at the distal radioulnar joint, and respecting the soft-tissue envelope are elements of a successful reconstruction. The author describes a systematic approach to evaluation and treatment, including the indications for surgical correction, techniques of reconstruction, and potential complications. Salient aspects of postsurgical rehabilitation and salvage procedures are discussed.