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Non-union in 3 of 15 osteotomies of the distal radius without bone graft
Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten.
Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för kliniska vetenskaper. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Centrum för kirurgi, ortopedi och cancervård, Ortopedkliniken i Linköping.
2015 (engelsk)Inngår i: Acta Orthopaedica, ISSN 1745-3674, E-ISSN 1745-3682, Vol. 86, nr 3, s. 316-320Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background and purpose - Open-wedge osteotomies of the distal radius create a void that is usually filled with either iliac crest bone graft or bone substitute. Previous studies have suggested that this is unnecessary. We investigated the safety of omitting the filling procedure. Patients and methods - We included 15 patients with a dorsal malunion of a distal radius fracture. A palmar approach and angle-stable plates were used. The patients were followed until there was radiographic and clinical healing. Results - Non-union occurred in 3 of the 15 patients. The study, which had been planned to include 25 patients, was then discontinued. 6 osteotomies created a trapezoid void (no cortical contact); 3 of these did not unite after the index procedure (p = 0.04), but did subsequently, after autogenous bone grafting. A trapezoid void was significantly associated with non-union (p = 0.04). Interpretation - When a trapezoid defect is created, one should consider bone substitute or autogenous bone graft. This has been shown to be safe in other studies.

sted, utgiver, år, opplag, sider
Informa Healthcare: Creative Commons Attribution Non-Commercial / Informa Healthcare , 2015. Vol. 86, nr 3, s. 316-320
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Identifikatorer
URN: urn:nbn:se:liu:diva-120057DOI: 10.3109/17453674.2015.1007415ISI: 000355976700009PubMedID: 25619425OAI: oai:DiVA.org:liu-120057DiVA, id: diva2:839976
Merknad

Funding Agencies|County Council of Ostergotland; Linkoping University, Sweden

Tilgjengelig fra: 2015-07-06 Laget: 2015-07-06 Sist oppdatert: 2017-12-04

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