Calcium phosphate cement in wrist arthrodesis: three cases.
BACKGROUND
With degenerative pathologies, arthrodesis of the wrist is a procedure reserved for preservative interventions that have failed. The least invasive procedure is Gill's technique, as modified by Luboshitz. To improve the results, we proposed a study of the advantages of local application of calcium phosphate cement.


METHODS
The procedure consisted of refreshing the remaining articular surfaces, obtaining a dorsal corticocancellous graft from the distal radius, and replacing the bone substance lost when removing the graft with calcium phosphate cement followed by smoothing flat the arthrodesis area to limit tendon conflicts.


RESULTS
In our three cases with an average follow-up of 23 months, no complications were noted and radiological consolidation was achieved in 2 months.


CONCLUSIONS
In view of this short series, we think that the addition of calcium phosphate cement to Gill's technique as modified by Luboshitz should improve the results of arthrodesis of degenerative wrists.
Liverneaux
Philippe
P
Department of Hand Surgery, Orthopaedic and Traumatology Center, 10 avenue Baumann, BP 80096 - F-67403 Illkirch CEDEX, France.
Khallouk
Raphiq
R
D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000379:methods*; D001843:Bone Cements / Q000737:chemistry* / Q000378:metabolism; D016025:Bone Transplantation; D002130:Calcium Phosphates / Q000737:chemistry*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014955:Wrist Joint / Q000601:surgery*
D001843:Bone Cements; D002130:Calcium Phosphates; C020243:calcium phosphate