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Scientific article
French

De l'utilité des substituts osseux: à propos de 101 fractures du radius distal

Contributors

Sennwald, Gontran; Della Santa, Dominique

Published in

Chirurgie de la main, vol. 20, no. 6, p. 454-457

Publication date

2001

Abstract

The aim of the present retrospective study was to evaluate the performance of bone graft substitutes currently in use. After exclusion of those with inadequate data for comparison, 70 out of the 101 operated fractures remained available for statistical analysis. Grafts were used in 38 cases: 23 were bone substitutes and 15 autogenous grafts. Distal radial inclination and lateral angles showed no significant difference. Analysis of ulnar variance showed the relative inability of intramedullary pinning to maintain radial length in the absence of graft. In contrast external fixators preserved radial length both with and without bone grafts, and with all types of graft material. TCH (hydroxyapatite and calcium phosphate) or autogenous bone grafts allowed intramedullary pinning to maintain radial length; whereas collagen matrix material was ineffective. We conclude that TCH and autogenous bone grafts have equivalent effectiveness despite potential bias in this study.

Keywords

  • Adolescent
  • Adult
  • Biomechanical Phenomena
  • Bone Nails
  • Bone Transplantation
  • Collagen
  • External Fixators
  • Female
  • Humans
  • Male
  • Middle Aged
  • Radius/anatomy & histology/pathology
  • Radius Fractures/surgery
  • Retrospective Studies
  • Treatment Outcome

UNIGE affiliation entities

UNIGE research groups

Citation (ISO format)

SENNWALD, Gontran, DELLA SANTA, Dominique. De l’utilité des substituts osseux: à propos de 101 fractures du radius distal. In: Chirurgie de la main, 2001, vol. 20, n° 6, p. 454–457. doi: 10.1016/S1297-3203(01)00071-3

Main files (1)

Article (Published version)

Identifiers

Journal ISSN

1297-3203
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Technical informations

Creation

11/03/2015 15:48:00

First validation

11/03/2015 15:48:00

Update

14/03/2023 23:01:22

Status update

14/03/2023 23:01:22

Last indexation

30/10/2024 23:29:58
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