title: [The prospects for Kirschner-wire osteosynthesis in the dorsally unstable distal radius fracture (Colles' type)].
abstract: The following experimental study was conducted to develop biocompatible methods of osteosynthesis in fractures of the distal radius and to evaluate their stability. A model of dorsal wedge osteotomy in the distal radial metaphysis was used to develop the surgical technique and to test the stability of the alternative methods of osteosynthesis. The concept for this model was based on commercially available materials which were either biodegradable or osteoconductive. Four different forms of biocompatible osteosynthesis were compared to combined Kirschner wire osteosynthesis (KWO), our preferred method of treatment of unstable Colles fracture. Biocompatible osteosynthesis was achieved with an invasivity and stability comparable to that of KWO. In conclusion, injection osteosynthesis exceeded the other biocompatible methods of osteosynthesis in all respects. Regarding the recent developments in injectable materials for osteosynthesis it offers the best perspective for clinical application.
authors.affiliation: Sektion Unfall- und Wiederherstellungschirurgie, Chirurgische Universitätsklinik, Heidelberg.
authors.forename: T
authors.initials: T
authors.lastname: Fritz
authors.forename: R
authors.initials: R
authors.lastname: Klavora
authors.forename: C
authors.initials: C
authors.lastname: Krieglstein
authors.forename: R
authors.initials: R
authors.lastname: Mattern
authors.forename: D
authors.initials: D
authors.lastname: Kallieris
authors.forename: W
authors.initials: W
authors.lastname: Friedl
mesh_terms: D001672:Biocompatible Materials / Q000627:therapeutic use; D001696:Biomechanical Phenomena; D001864:Bone Wires; D002102:Cadaver; D003100:Colles' Fracture / Q000503:physiopathology / Q000601:surgery*; D005069:Evaluation Studies as Topic; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D010027:Osteotomy; D011884:Radius / Q000601:surgery
chemical_list: D001672:Biocompatible Materials
vernacular_title: Perspektive der Kirschnerdraht-Osteosynthese bei der dorsal instabilen, distalen Radiusfraktur (Colles-Typ).