Treatment of fractures of the distal radius with a remodellable bone cement: a prospective, randomised study using Norian SRS.
We performed a prospective, randomised study on 110 patients more than 50 years old with fractures of the distal radius to compare the outcome of conservative treatment with that using remodellable bone cement (Norian skeletal repair system, SRS) and immobilisation in a cast for two weeks. Patients treated with SRS had less pain and earlier restoration of movement and grip strength. The results at one year were satisfactory in 81.54% of the SRS patients and 55.55% of the control group. The rates of malunion were 18.2% and 41.8%, respectively. There was a significant relationship between the functional and radiological results. Soft-tissue extrusion was present initially in 69.1% of the SRS patients; most deposits disappeared progressively, but persisted in 32.73% at one year. We conclude that the injection of a remodellable bone cement into the trabecular defect of fractures of the distal radius provides a better clinical and radiological result than conventional treatment.
Sanchez-Sotelo
J
J
Department of Orthopaedic Surgery, Hospital 'La Paz', Madrid, Spain.
Munuera
L
L
Madero
R
R
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001843:Bone Cements / Q000627:therapeutic use*; D002130:Calcium Phosphates / Q000627:therapeutic use*; D002370:Casts, Surgical; D003100:Colles' Fracture / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D003131:Combined Modality Therapy; D005260:Female; D018737:Hand Strength; D006801:Humans; D007267:Injections; D008297:Male; D008349:Manipulation, Orthopedic; D008875:Middle Aged; D016348:Osseointegration; D010146:Pain / Q000209:etiology; D011446:Prospective Studies; D011859:Radiography; D016059:Range of Motion, Articular; D014143:Traction; D016896:Treatment Outcome
D001843:Bone Cements; D002130:Calcium Phosphates; C485828:alpha-tricalcium phosphate; C485830:tetracalcium phosphate; C485838:calcium phosphate, monobasic, anhydrous; C020243:calcium phosphate; C485829:calcium phosphate, dibasic, anhydrous