Fig. 5

Actual surgical images of corrective osteotomy for the distal radius malunion. a A surgical field is exposed using a palmar approach of the wrist, and a plate is temporarily fixed based on the anatomical characteristics of the bone. The plate is removed once while leaving the Kirschner-wire for temporary fixation, and osteotomy is performed along an osteotomy line that had been planned. b The plate is located again via the wire for temporary fixation, and distal screws are inserted so that the bone fragment and plate may comprise a mass. Finally, a reduction position is obtained by returning the proximal side of the plate onto the axis of the radial shaft [4]