Baldwin's procedure
There are three main surgical approaches to correcting a mal-union following a Colles' fracture:
- excision of the distal 2.5 cm of the ulna:
- improves appearance and mobility of the wrist
- the wrist is unstable
- Baldwin's procedure:
- excision of the 2 cm of the ulna, leaving the distal 2 cm of the ulna intact
- improves appearance and mobility of the wrist
- radial osteotomy:
- a major procedure
- indicated when dorsal angulation of the distal radius is the main deformity
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