title: [Nonunion after distal radius fracture: A review].
abstract: Nonunion after distal radius fracture is rare, serious and unpredictable. The preferred treatment is resection of the nonunion zone followed by open reduction and internal fixation with autologous iliac crest bone graft. When the distal fragment is less than 5mm high, a dorsal plate that bridges the radiocarpal joint is recommended. In patients with low functional demands, radiocarpal fusion is a logical choice. The bone healing rate is 58% and could be improved by using a vascular graft. Bone healing is not synonymous with good clinical outcomes. Nonunion after distal radius fracture is a serious problem and the functional prognosis is doubtful.
authors.affiliation: Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10 avenue Baumann, 67400 Illkirch, France. Electronic address: philippe.liverneaux@chru-strasbourg.fr.
authors.forename: P
authors.initials: P
authors.lastname: Liverneaux
authors.affiliation: Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10 avenue Baumann, 67400 Illkirch, France.
authors.forename: S
authors.initials: S
authors.lastname: Facca
authors.affiliation: Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10 avenue Baumann, 67400 Illkirch, France.
authors.forename: J J
authors.initials: JJ
authors.lastname: Hidalgo Diaz
mesh_terms: D000328:Adult; D001860:Bone Plates; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D008297:Male; D011542:Pseudarthrosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D011885:Radius Fractures / Q000150:complications*; D016896:Treatment Outcome; D014955:Wrist Joint
keywords: Distal radius; Fracture; Nonunion; Pseudarthrose; Radius distal