RSS-Feed abonnieren
DOI: 10.1055/s-2003-42287
© Georg Thieme Verlag Stuttgart · New York
Resorbable Calcium Phosphate Cement for the Treatment of Metaphyseal Defects in Distal Radius Fractures: A Clinical Study
Publikationsverlauf
Publikationsdatum:
24. September 2003 (online)
Abstract
Unstable fractures of the distal radius continue to be a challenge to the trauma surgeon. In many cases adjunctive bone grafting is required to augment structural integrity and aid healing. An alternative approach is to fill the defect primarily with bone substitutes to avoid donor site morbidity. Between 1998 and 2001 we applied a resorbable calcium phosphate cement to treat these bone defects in 29 patients with distal radius fractures. In a retrospective study we could examine 20 patients after an average follow-up of 18.9 months. According to the Gartland and Werley score we found an average of 7.5 points. We conclude that the injection of a resorbable calcium phosphate cement into the metaphyseal defect of fractures of the distal radius provides good clinical and radiological results.
Key words
Distal radius fracture - bone graft - bone substitute - calcium phosphate cement
References
- 1 Brug E, Joosten U, Pullen M. Brüche am distalen Unterarm. Welche Therapie ist wann indiziert?. Orthopäde. 2000; 29 318-326
- 2 Gartland J J, Werley C W. Evaluation of healed Colles' fractures. J Bone Joint Surg [Am]. 1951; 33 895-907
- 3 Jupiter J B, Winters S, Sigman S, Lowe C, Pappas C, Ladd A L, Van Wagoner M, Smith S T. Repair of five distal radius fractures with an investigational cancellous bone cement: a preliminary report. J Orthop Trauma. 1997; 11 110-116
- 4 Kopylov P, Runnqvist K, Jonsson K, Aspenberg P. Norian SRS versus external fixation in redisplaced distal radial fractures. A randomized study in 40 patients. Acta Orthop Scand. 1999; 70 1-5
- 5 Sakano H, Koshino T, Takeuchi R, Sakai N, Saito T. Treatment of the unstable distal radius fracture with external fixation and a hydroxyapatite spacer. J Hand Surg [Am]. 2001; 26 923-930
- 6 Sanchez-Sotelo J, Munuera L, Madero R. Treatment of fractures of the distal radius with a remodellable bone cement: a prospective, randomised study using Norian SRS. J Bone Joint Surg [Br]. 2000; 82 856-863
- 7 Sommer C, Brendebach L, Meier R, Leutenegger A. Distale Radiusfrakturen - retrospektive Qualitätskontrolle nach konservativer und operativer Therapie. Swiss Surg. 2001; 7 68-75
- 8 Sturzenegger M. L'ost éosynthèse “sandwich” de l'extré mité inférieure du radius. Chir Main. 2001; 20 447-453
- 9 Sun J S, Chang C H, Wu C C, Hou S M, Hang Y S. Extra- articular deformity in distal radial fractures treated by external fixation. Can J Surg. 2001; 44 289-294
- 10 Tyllianakis M, Giannikas D, Panagopoulos A, Panagiotopoulos E, Lambiris E. Use of injectable calcium phosphate in the treatment of intra-articular distal radius fractures. Orthopedics. 2002; 25 311-315
- 11 Werber K D, Brauer R B, Weiss W, Becker K. Osseous integration of bovine hydroxyapatite ceramic in metaphyseal bone defects of the distal radius. J Hand Surg [Am]. 2000; 25 833-841
- 12 Wolfe S W, Pike L, Slade J F, Katz L D. Augmentation of distal radius fracture fixation with coralline hydroxyapatite bone graft substitute. J Hand Surg [Am]. 1999; 24 816-827
PD Dr. Wolfgang Linhart
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie
Universitätsklinikum Hamburg-Eppendorf
Martinistrasse 52
20246 Hamburg
Germany
Telefon: +49/40-4 28 03-34 07
Fax: +49/40-4 28 03-24 95
eMail: linhart@uke.uni-hamburg.de