Extra-articular distal radius malunion: The phosphate cement alternative.
Five consecutive patients (mean age: 40.4 yrs (range, 19-58 yrs)), with symptomatic distal radius malunion underwent corrective opening wedge osteotomy using phosphate cement as an alternative to bone autograft, at a mean 9 months (4-16mo) of fracture. Internal fixation used a plate placed just above the distal radioulnar joint, with soft-tissue release. Radiographic and functional parameters were measured before surgery, and at 6 months and 1 year. At a mean 32.4 months (range, 16-47mo), all patients were satisfied and all the osteotomies were united. At 1 year's follow-up, wrist range of motion reached 75% compared to the contralateral side. Two biopsies performed during plate removal showed osteoid tissue at the cement-bone junction. It is reasonable to consider injectable phosphate cement as a viable alternative to bone grafting in conjunction with surgical correction of distal radius malunion.


METHODS
level IV.
Obert
L
L
Orthopedics, Traumatology Plastic and Reconstructive Hand Surgery Dept, Surgical Innovation and Technique Center, EA 4268 Innovation, Imaging, Engineering and Intervention in Health, IFR 133 Inserm, Jean-Minjoz University Hospital, Franche-Comté University, Besançon, France.
Lepage
D
D
Gasse
N
N
Rochet
S
S
Garbuio
P
P
D000328:Adult; D001843:Bone Cements; D001860:Bone Plates; D018786:Bone Substitutes / Q000008:administration & dosage*; D002130:Calcium Phosphates / Q000008:administration & dosage*; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D017759:Fractures, Malunited / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D011885:Radius Fractures / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology; D014954:Wrist Injuries / Q000601:surgery*; D055815:Young Adult
D001843:Bone Cements; D018786:Bone Substitutes; D002130:Calcium Phosphates; C559928:JECTOS; C494366:calcium phosphate, dibasic, dihydrate