Document Detail


Dorsal plating of unstable distal radius fractures using a bio-absorbable plating system and bone substitute.
MedLine Citation:
PMID:  16293358     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study reports the results of open reduction and internal fixation of 26 unstable, intraarticular, dorsally displaced fractures of the distal radius using a bio-absorbable dorsal distal radius (Reunite) plate and calcium phosphate (Biobon) bone substitute. The bio-absorbable plate has the advantage of being low profile, easily contourable and angularly stable. In the majority of cases, this plate produces functional results comparable with metal plates. The Gartland and Werley score was excellent or good in 21 patients. The theoretical advantage over metal plates is in eliminating the need to remove the plate and hence the need for a second operation if implant-related extensor tenosynovitis occurs. Inflammatory tissue reaction to the degradation products of the plate is a potential concern, although the co-polymer ratio used in this plate appears to have reduced the severity of this reaction, which was seen in two patients in this series. The reduction was lost in five patients with severe dorsal comminution. Following this experience, we do not recommend this plating system for fractures with a metaphyseal gap of greater than 7 mm following reduction.
Authors:
S Gangopadhyay; K Ravi; G Packer
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Publication Detail:
Type:  Journal Article     Date:  2005-11-15
Journal Detail:
Title:  Journal of hand surgery (Edinburgh, Scotland)     Volume:  31     ISSN:  0266-7681     ISO Abbreviation:  J Hand Surg Br     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-01-17     Completed Date:  2006-06-06     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  8403839     Medline TA:  J Hand Surg Br     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  93-100     Citation Subset:  IM    
Affiliation:
Southend Hospital, Westcliff-on-Sea, Essex, UK. gangoss@aol.com
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MeSH Terms
Descriptor/Qualifier:
Absorbable Implants*
Adolescent
Adult
Aged
Aged, 80 and over
Bone Plates*
Bone Substitutes / therapeutic use*
Calcium Phosphates / therapeutic use*
Female
Fracture Fixation, Internal / instrumentation*,  methods
Glycolates
Hand Strength
Humans
Lactic Acid
Male
Middle Aged
Pain Measurement
Prosthesis Design
Radius Fractures / radiography,  surgery*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Bone Substitutes; 0/Calcium Phosphates; 0/Glycolates; 50-21-5/Lactic Acid; 79-14-1/glycolic acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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