Dorsal Malunion of the Distal Radius
Conditions
Keywords
Bone graft, Calcium phosphate bone cement, RCT, Xray, CT
Brief summary
CaP Cement is Equivalent to Iliac Bone Graft in Filling of Large Metaphyseal Defects
Detailed description
Background: A bone graft from the iliac crest has long been the gold standard for filling voids in opening wedge osteotomies. CaP bone cement has been considered the possible alternative to bone graft. Methods: 20 adult patients with distal radius malunions and dorsal deformities were randomised intra-operatively to bone graft (10) or CaP bone cement (10). Dorsal titanium locking plates were used and the wrist was stabilised in a cast for 8 weeks. Follow-ups for 24 months included VAS on wrist and iliac crest, grip strength, ROM bilaterally, Quick-DASH and Gartland & Werley's functional scoring system. X-rays and CT scans were taken at 8 wks, 3-6-12-24 mths.
Interventions
PROCEDUREcorrective osteotomy distal radius
Opening wedge corrective osteotomy on dorsal malunions of the distal radius. Distraction and correction of deformity.
Sponsors
Oslo University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
the standard treatment is a corrective osteotomy with bone graft. The intervention in parallel group is a corrective osteotomy and use of CaP bone cement
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
* distal radius malunion with dorsal deformity, disability and pain.
Exclusion criteria
* age under 18 years, bad health, inflammatory arthritis and radio-carpal osteoarthritis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| volar angulation distal radius, x-ray | 24 months |
Outcome results
None listed