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Non-union in 3 of 15 osteotomies of the distal radius without bone graft
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.
2015 (English)In: Acta Orthopaedica, ISSN 1745-3674, E-ISSN 1745-3682, Vol. 86, no 3, 316-320 p.Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Informa Healthcare: Creative Commons Attribution Non-Commercial / Informa Healthcare , 2015. Vol. 86, no 3, 316-320 p.
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Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-120057DOI: 10.3109/17453674.2015.1007415ISI: 000355976700009PubMedID: 25619425OAI: oai:DiVA.org:liu-120057DiVA: diva2:839976
Note

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

Available from: 2015-07-06 Created: 2015-07-06 Last updated: 2017-12-04

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Scheer, JohanAdolfsson, Lars

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Division of Neuro and Inflammation ScienceFaculty of Medicine and Health SciencesDivision of Clinical SciencesDepartment of Orthopaedics in Linköping
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