Extra-articular distal radius malunion: The phosphate cement alternative.
Orthop Traumatol Surg Res
; 96(5): 574-8, 2010 Sep.
Article
in En
| MEDLINE
| ID: mdl-20634164
ABSTRACT
UNLABELLED Five consecutive patients (mean age 40.4 yrs (range, 19-58 yrs)), with symptomatic distal radius malunion underwent corrective opening wedge osteotomy using phosphate cement as an alternative to bone autograft, at a mean 9 months (4-16mo) of fracture. Internal fixation used a plate placed just above the distal radioulnar joint, with soft-tissue release. Radiographic and functional parameters were measured before surgery, and at 6 months and 1 year. At a mean 32.4 months (range, 16-47mo), all patients were satisfied and all the osteotomies were united. At 1 year's follow-up, wrist range of motion reached 75% compared to the contralateral side. Two biopsies performed during plate removal showed osteoid tissue at the cement-bone junction. It is reasonable to consider injectable phosphate cement as a viable alternative to bone grafting in conjunction with surgical correction of distal radius malunion. LEVEL OF EVIDENCE level IV.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Osteotomy
/
Radius Fractures
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Wrist Injuries
/
Bone Cements
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Bone Plates
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Calcium Phosphates
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Fractures, Malunited
/
Bone Substitutes
/
Fracture Fixation, Internal
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Orthop Traumatol Surg Res
Year:
2010
Document type:
Article
Affiliation country:
France