The use of beta-tricalcium phosphate bone graft substitute in dorsally plated, comminuted distal radius fractures
Please always quote using this URN: urn:nbn:de:bvb:20-opus-68829
- Background: Intraarticular distal radius fractures can be treated with many methods. While internal fixation with angle stable implants has become increasingly popular, the use of bone graft substitutes has also been recommended to address comminution zones and thus increase stability. Whether a combination of both methods will improve clinical outcomes was the purpose of the study Methods: The study was thus conducted as a prospective randomized clinical trial. 39 patients with unilateral, intraarticular fractures of the distal radius wereBackground: Intraarticular distal radius fractures can be treated with many methods. While internal fixation with angle stable implants has become increasingly popular, the use of bone graft substitutes has also been recommended to address comminution zones and thus increase stability. Whether a combination of both methods will improve clinical outcomes was the purpose of the study Methods: The study was thus conducted as a prospective randomized clinical trial. 39 patients with unilateral, intraarticular fractures of the distal radius were included and randomized to 2 groups, one being treated with internal fixation only, while the second group received an additional bone graft substitute. Results: There was no statistical significance between both groups in functional and radiological results. The occurrence of complications did also not show statistical significance. Conclusions: No advantage of additional granular bone graft substitutes could be seen in this study. Granular bone graft substitutes do not seem to provide extra stability if dorsal angle stable implants are used. Dorsal plates have considerable complication rates such as extensor tendon ruptures and development of CRPS.…
Author: | Michael G. Jakubietz, Joerg G. Gruenert, Rafael G. Jakubietz |
---|---|
URN: | urn:nbn:de:bvb:20-opus-68829 |
Document Type: | Journal article |
Faculties: | Medizinische Fakultät / Klinik und Poliklinik für Mund-, Kiefer- und Plastische Gesichtschirurgie |
Language: | English |
Year of Completion: | 2011 |
Source: | In: Journal of Orthopaedic Surgery and Research (2011) 6, doi:10.1186/1749-799X-6-24 |
Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
GND Keyword: | Medizin |
Release Date: | 2012/11/15 |
Collections: | Open-Access-Publikationsfonds / Förderzeitraum 2011 |
Licence (German): | CC BY: Creative-Commons-Lizenz: Namensnennung |