Angus presented a talk titled "Distal Radius Osteotomy: Distraction Osteotomy and Computer Guidance" at the Australian Orthopaedic Association (WA branch) meeting in Bunker Bay this past weekend. The talk was well received and questions included:

Do you use a dorsal approach for distal radius osteotomy?

Rarely, only in the circumstance where there is an intra-articular portion that requires a dorsal approach. Typically, the dorsal approach would be avoided in order to a prevent irritation of the dorsal tendons.

How do you measure the length of your distraction osteotomy when most corrections will leave a trapezoidal gap?

I use the average length measurement, for example, on the radial side there will often be a greater lengthening required than the ulnar side, and so the measurement is taken from the middle of the bone, and thus represent the average length of the distraction.