title: Augmented pin fixation with Cortoss for an unstable AO-A3 type distal radius fracture in a patient with a manifest osteoporosis.
abstract: Distal radius fractures are one of the most common fractures in the elderly females. In this article, we report a case of a distal radius fracture type AO-A3 with dorsal instability, in an older woman with manifest osteoporosis, treated with minimally invasive Cortoss composite and FFS-wires(R). A 63-year-old woman sustained an unstable distal radial fracture of her left wrist after falling from a kitchen step. She underwent an open reduction of the fracture and fixation with two crossed-fixation pins and Cortoss composite. Post-operative plaster cast immobilization was given for 2 weeks, after which the plaster cast and the fixation pins were removed. At 4 weeks follow-up, she had a good functional result of her left wrist, after 11 months there was a complete return of grip strength with also, except for the palmar flexion, a full return of function. We report here the first case of a successful surgical treatment with Cortoss composite of an AO-A3 type distal radius fracture.
authors.affiliation: Department of Surgery, Twenteborg Hospital, Twenteborg Ziekenhuis, Zilvermeeuw 1, Almelo, The Netherlands. ruthsmit@hotmail.com
authors.forename: R S
authors.initials: RS
authors.lastname: Smit
authors.forename: D
authors.initials: D
authors.lastname: van der Velde
authors.forename: J H
authors.initials: JH
authors.lastname: Hegeman
mesh_terms: D017438:Bisphenol A-Glycidyl Methacrylate / Q000627:therapeutic use*; D001858:Bone Nails; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D018737:Hand Strength; D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000601:surgery; D008875:Middle Aged; D015663:Osteoporosis, Postmenopausal / Q000150:complications*; D011885:Radius Fractures / Q000150:complications / Q000601:surgery*; D020127:Recovery of Function; D014955:Wrist Joint / Q000601:surgery
chemical_list: C475778:CORTOSS; D017438:Bisphenol A-Glycidyl Methacrylate