scholarly journals Distal radius correction osteotomy with tricortical bone graft is a successful method in heavy smokers

2020 ◽  
Vol 18 ◽  
pp. 150-154
Author(s):  
Yüksel Uğur Yaradılmış ◽  
Ali Tecirli ◽  
Çağrı Örs
2016 ◽  
Vol 21 (02) ◽  
pp. 133-139 ◽  
Author(s):  
Tsuyoshi Murase

The conventional corrective osteotomy for malunited distal radius fracture that employs dorsal approach and insertion of a trapezoidal bone graft does not always lead to precise correction or result in a satisfactory surgical outcome. Corrective osteotomy using a volar locking plate has recently become an alternative technique. In addition, the use of patient-matched instrument (PMI) via computed tomography simulation has been developed and is expected to simplify surgical procedures and improve surgical precision. The use of PMI makes it possible to accurately position screw holes prior to the osteotomy and simultaneously perform the correction and place the volar locking plate once the osteotomy is completed. The bone graft does not necessarily require a precise block form, and the problem of the extensor tendon contacting the dorsal plate is avoided. Although PMI placement and soft tissue release technique require some degree of specialized skill, they comprise a very useful surgical procedure. On the other hand, because patients with osteoporosis are at risk of peri-implant fracture, tandem ulnar shortening surgery should be considered to avoid excessive lengthening of the radius.


Orthopedics ◽  
2003 ◽  
Vol 26 (1) ◽  
pp. 91-93
Author(s):  
David J Ingle ◽  
Jeno I Sebes ◽  
Jorge E Salazar ◽  
Amit Gupta

2021 ◽  
pp. 161-170
Author(s):  
Pascal F.W. Hannemann ◽  
Taco J. Blokhuis ◽  
Jan A. Ten Bosch ◽  
Niels W.L. Schep

2012 ◽  
Vol 65 (3) ◽  
pp. 379-383 ◽  
Author(s):  
H.B. Kitzinger ◽  
B. Karle ◽  
K.-J. Prommersberger ◽  
J. van Schoonhoven ◽  
M. Frey

2008 ◽  
Vol 33 (5) ◽  
pp. 636-640 ◽  
Author(s):  
J. BRAGA-SILVA ◽  
F. M. PERUCHI ◽  
G. M. MOSCHEN ◽  
D. GEHLEN ◽  
A. V. PADOIN

We compared two surgical techniques for the treatment of scaphoid non-union, namely, using distal radius vascularised bone graft and iliac crest non-vascularised bone graft. Eighty patients with symptomatic scaphoid non-union underwent surgical treatment, including 35 patients treated with distal radius vascularised bone graft and 45 treated by iliac crest non-vascularised bone graft. Patients were assessed objectively by examination of wrist range of motion, grip strength and radiographic findings in the postoperative period after a mean time of 2.8 (1.4) (range 1–5.2) years. Similar functional results were obtained with the two techniques. All cases of non-union in the non-vascularised group obtained consolidation in a mean time of 8.89 (2.26) months and in the vascularised group in a mean time of 7.97 (3.06) months. Three cases of consolidation failure occurred in the vascularised group and were related to technical difficulties.


2017 ◽  
Vol 22 (02) ◽  
pp. 236-239 ◽  
Author(s):  
Kiyohito Naito ◽  
Yoichi Sugiyama ◽  
Hiroyuki Obata ◽  
Atsuhiko Mogami ◽  
Osamu Obayashi ◽  
...  

Distal ulna fractures often occur with distal radius fractures, and their treatment method is still controversial. We considered reduction of the distal radio-ulnar joint (DRUJ) surface the most important factor when treating distal ulna fractures accompanied by residual dislocation. We herein presented a patient with a distal ulna fracture accompanied by dislocation of the DRUJ surface in whom an autogenous bone fragment collected from the radius was grafted onto the ulnar bone defect after open reduction and Herbert screw fixation. In this technique, the bone fragment was supported through the medullary cavity by inserting a Herbert screw, which was less likely to cause irritation between the screw and surrounding tissue, because the screw was almost entirely present in the bone. In addition, an autogenous bone graft from the same surgical field may be less invasive than that from another region.


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