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Bone grafiting combined with Sauvé-Kapandji Procedures for the treatment of aseptic distal radius non-union.
Rollo, G; Luceri, F; Pasquino, A; Pichierri, P; Tomarchio, A; Bisaccia, M; Garagnani, L; Biserni, M; Agnoletto, M; Marmotti, A; Mangiavini, L; Meccariello, L.
Afiliação
  • Rollo G; Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy.
  • Luceri F; IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
  • Pasquino A; Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy.
  • Pichierri P; Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy.
  • Tomarchio A; Department of Orthopedics and Traumatology, S. Croce e Carle Cuneo Hospital, Cuneo, Italy.
  • Bisaccia M; Orthopaedics and Traumatology Unit, Department of Surgical and Biomedical Science, S.M. Misericordia Hospital, University of Perugia, Sant'Andrea delle Fratte, Perugia, Italy.
  • Garagnani L; Hand and Wrist Unit, Department of Orthopaedics, Guy's and St Thomas' Hospitals, London, United Kingdom.
  • Biserni M; Department of Orthopedics and Traumatology, Santa Maria della Stella, Orvieto, Terni, Italy.
  • Agnoletto M; IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
  • Marmotti A; Department of Orthopaedics and Traumatology, University of Turin, Turin, Italy.
  • Mangiavini L; IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
  • Meccariello L; Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
J Biol Regul Homeost Agents ; 34(4 Suppl. 3): 213-218. Congress of the Italian Orthopaedic Research Society, 2020.
Article em En | MEDLINE | ID: mdl-33261280
ABSTRACT
Distal radius fractures are the most common type of upper limb fractures in adults. Non-union after distal radius fracture is rare, serious and unpredictable. The aim of our paper is to analyse the clinical and radiological outcomes of bone grafting and Sauvé-Kapandji Procedures for the treatment of aseptic distal radius non-union. We enrolled 13 patients with distal radius aseptic non-union. The following parameters were evaluated The surgical time, elbow, forearm and wrist range of motion, the subjective quality of life and the wrist function measured by Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), Pain Visual Analogic Score (VAS) and the complication rate. Bone union was measured using the radiographic union score as described by Radiographic Union Score (RUS). The evaluation endpoint was set at 24 months after surgery. All patients achieved fracture union. Grip strength improved by 12.4 kg. There was also improvement in wrist flexion, in wrist extension, and forearm pronosupination. These ranges of motion and grip strength improvements were statistically significant. Only 6 patients returned to full activity. This surgical technique represents a reliable alternative for treatment of distal radius aseptic non-unions. Further studies are needed to assess the long-term clinical results of this surgical procedure.
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Rádio (Anatomia) / Fraturas do Rádio Limite: Humans Idioma: En Ano de publicação: 2020 Tipo de documento: Article
Buscar no Google
Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Rádio (Anatomia) / Fraturas do Rádio Limite: Humans Idioma: En Ano de publicação: 2020 Tipo de documento: Article