Treatment of unstable distal radius fractures with cancellous allograft and external fixation
Unstable fractures of the distal radius continue to pose a challenge to the hand surgeon. Adjunctive bone grafting is often required to augment structural integrity and aid healing. Because of the risks inherent to bone autograft harvest, however, freeze-dried, irradiated cancellous bone allograft h...
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| Veröffentlicht in: | The Journal of hand surgery (American ed.) 1999-11, Vol.24 (6), p.1269-1278 |
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| container_issue | 6 |
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| container_title | The Journal of hand surgery (American ed.) |
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| creator | Herrera, Mauricio Chapman, Cary B. Roh, Michael Strauch, Robert J. Rosenwasser, Melvin P. |
| description | Unstable fractures of the distal radius continue to pose a challenge to the hand surgeon. Adjunctive bone grafting is often required to augment structural integrity and aid healing. Because of the risks inherent to bone autograft harvest, however, freeze-dried, irradiated cancellous bone allograft has been used to treat unstable distal radius fractures with severe metaphyseal comminution. Seventeen patients with such fractures (mean age, 70 years; 2 males and 15 females) were treated with bone allograft and external fixation with or without internal fixation. The outcome was evaluated using the modified Mayo wrist score, demonstrating 3 excellent, 8 good, 6 fair, and no poor results on follow-up examination (mean follow-up period, 23 months; range, 7–43 months). The patients were requested to return for follow-up review between 1997 and 1998. These results show that cancellous bone allograft is a useful adjunct to external fixation in the treatment of unstable distal radius fractures. (J Hand Surg 1999;24A:1269–1278. Copyright © 1999 by the American Society for Surgery of the Hand.) |
| doi_str_mv | 10.1053/jhsu.1999.1269 |
| format | Article |
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Adjunctive bone grafting is often required to augment structural integrity and aid healing. Because of the risks inherent to bone autograft harvest, however, freeze-dried, irradiated cancellous bone allograft has been used to treat unstable distal radius fractures with severe metaphyseal comminution. Seventeen patients with such fractures (mean age, 70 years; 2 males and 15 females) were treated with bone allograft and external fixation with or without internal fixation. The outcome was evaluated using the modified Mayo wrist score, demonstrating 3 excellent, 8 good, 6 fair, and no poor results on follow-up examination (mean follow-up period, 23 months; range, 7–43 months). The patients were requested to return for follow-up review between 1997 and 1998. These results show that cancellous bone allograft is a useful adjunct to external fixation in the treatment of unstable distal radius fractures. (J Hand Surg 1999;24A:1269–1278. Copyright © 1999 by the American Society for Surgery of the Hand.)</description><identifier>ISSN: 0363-5023</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1053/jhsu.1999.1269</identifier><identifier>PMID: 10584952</identifier><identifier>CODEN: JHSUDV</identifier><language>eng</language><publisher>New york, NY: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; allograft ; Biological and medical sciences ; bone graft ; Bone Transplantation ; Distal radius ; external fixation ; External Fixators ; Female ; Follow-Up Studies ; Fracture Fixation, Internal ; Fracture Healing - physiology ; Humans ; Male ; Medical sciences ; Middle Aged ; Orthopedic surgery ; Postoperative Complications - diagnostic imaging ; Radiography ; Radius Fractures - diagnostic imaging ; Radius Fractures - surgery ; Range of Motion, Articular - physiology ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Treatment Outcome ; Wrist Injuries - diagnostic imaging ; Wrist Injuries - surgery</subject><ispartof>The Journal of hand surgery (American ed.), 1999-11, Vol.24 (6), p.1269-1278</ispartof><rights>1999 American Society of the Hand</rights><rights>2000 INIST-CNRS</rights><rights>Copyright Churchill Livingstone Inc., Medical Publishers Nov 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c425t-d051e36cf1f5eeb4bcd3d286d918b801df559b01412c8d83b919af2a07e6aed83</citedby><cites>FETCH-LOGICAL-c425t-d051e36cf1f5eeb4bcd3d286d918b801df559b01412c8d83b919af2a07e6aed83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0363502399422786$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1194971$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10584952$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Herrera, Mauricio</creatorcontrib><creatorcontrib>Chapman, Cary B.</creatorcontrib><creatorcontrib>Roh, Michael</creatorcontrib><creatorcontrib>Strauch, Robert J.</creatorcontrib><creatorcontrib>Rosenwasser, Melvin P.</creatorcontrib><title>Treatment of unstable distal radius fractures with cancellous allograft and external fixation</title><title>The Journal of hand surgery (American ed.)</title><addtitle>J Hand Surg Am</addtitle><description>Unstable fractures of the distal radius continue to pose a challenge to the hand surgeon. Adjunctive bone grafting is often required to augment structural integrity and aid healing. Because of the risks inherent to bone autograft harvest, however, freeze-dried, irradiated cancellous bone allograft has been used to treat unstable distal radius fractures with severe metaphyseal comminution. Seventeen patients with such fractures (mean age, 70 years; 2 males and 15 females) were treated with bone allograft and external fixation with or without internal fixation. The outcome was evaluated using the modified Mayo wrist score, demonstrating 3 excellent, 8 good, 6 fair, and no poor results on follow-up examination (mean follow-up period, 23 months; range, 7–43 months). The patients were requested to return for follow-up review between 1997 and 1998. These results show that cancellous bone allograft is a useful adjunct to external fixation in the treatment of unstable distal radius fractures. (J Hand Surg 1999;24A:1269–1278. Copyright © 1999 by the American Society for Surgery of the Hand.)</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>allograft</subject><subject>Biological and medical sciences</subject><subject>bone graft</subject><subject>Bone Transplantation</subject><subject>Distal radius</subject><subject>external fixation</subject><subject>External Fixators</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fracture Fixation, Internal</subject><subject>Fracture Healing - physiology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Radiography</subject><subject>Radius Fractures - diagnostic imaging</subject><subject>Radius Fractures - surgery</subject><subject>Range of Motion, Articular - physiology</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><subject>Wrist Injuries - diagnostic imaging</subject><subject>Wrist Injuries - surgery</subject><issn>0363-5023</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMFrFDEUh4NY7Np69ShBxNts85JJdnIsRW2h4KU9lpBJXmyW2Zk2yWj975thF5RCTy_kfb_Hj4-Qj8DWwKQ4297neQ1a6zVwpd-QFUgBjZKqfUtWTCjRSMbFMXmf85YxBkrId-S4RrtWS74idzcJbdnhWOgU6DzmYvsBqY_1MdBkfZwzDcm6MifM9E8s99TZ0eEwTHVj6_iVbCjUjp7iU8E01lyIT7bEaTwlR8EOGT8c5gm5_f7t5uKyuf754-ri_LpxLZel8UwCCuUCBInYt73zwvNOeQ1d3zHwQUrdM2iBu853otegbeCWbVBZrB8n5Ov-7kOaHmfMxexiXjraEWtNo7TgUsKmgp9fgNtpXipnw6sUxtoNq9B6D7k05ZwwmIcUdzb9NcDMYt0s1s1i3SzWa-DT4erc79D_h-81V-DLAbDZ2aH6HF3M_zjQrd5Axbo9htXV74jJZBexyvYxoSvGT_G1Cs8X859P</recordid><startdate>19991101</startdate><enddate>19991101</enddate><creator>Herrera, Mauricio</creator><creator>Chapman, Cary B.</creator><creator>Roh, Michael</creator><creator>Strauch, Robert J.</creator><creator>Rosenwasser, Melvin P.</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Science Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>19991101</creationdate><title>Treatment of unstable distal radius fractures with cancellous allograft and external fixation</title><author>Herrera, Mauricio ; Chapman, Cary B. ; Roh, Michael ; Strauch, Robert J. ; Rosenwasser, Melvin P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-d051e36cf1f5eeb4bcd3d286d918b801df559b01412c8d83b919af2a07e6aed83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>allograft</topic><topic>Biological and medical sciences</topic><topic>bone graft</topic><topic>Bone Transplantation</topic><topic>Distal radius</topic><topic>external fixation</topic><topic>External Fixators</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fracture Fixation, Internal</topic><topic>Fracture Healing - physiology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Radiography</topic><topic>Radius Fractures - diagnostic imaging</topic><topic>Radius Fractures - surgery</topic><topic>Range of Motion, Articular - physiology</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><topic>Wrist Injuries - diagnostic imaging</topic><topic>Wrist Injuries - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Herrera, Mauricio</creatorcontrib><creatorcontrib>Chapman, Cary B.</creatorcontrib><creatorcontrib>Roh, Michael</creatorcontrib><creatorcontrib>Strauch, Robert J.</creatorcontrib><creatorcontrib>Rosenwasser, Melvin P.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Herrera, Mauricio</au><au>Chapman, Cary B.</au><au>Roh, Michael</au><au>Strauch, Robert J.</au><au>Rosenwasser, Melvin P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of unstable distal radius fractures with cancellous allograft and external fixation</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>1999-11-01</date><risdate>1999</risdate><volume>24</volume><issue>6</issue><spage>1269</spage><epage>1278</epage><pages>1269-1278</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><abstract>Unstable fractures of the distal radius continue to pose a challenge to the hand surgeon. Adjunctive bone grafting is often required to augment structural integrity and aid healing. Because of the risks inherent to bone autograft harvest, however, freeze-dried, irradiated cancellous bone allograft has been used to treat unstable distal radius fractures with severe metaphyseal comminution. Seventeen patients with such fractures (mean age, 70 years; 2 males and 15 females) were treated with bone allograft and external fixation with or without internal fixation. The outcome was evaluated using the modified Mayo wrist score, demonstrating 3 excellent, 8 good, 6 fair, and no poor results on follow-up examination (mean follow-up period, 23 months; range, 7–43 months). The patients were requested to return for follow-up review between 1997 and 1998. These results show that cancellous bone allograft is a useful adjunct to external fixation in the treatment of unstable distal radius fractures. (J Hand Surg 1999;24A:1269–1278. Copyright © 1999 by the American Society for Surgery of the Hand.)</abstract><cop>New york, NY</cop><pub>Elsevier Inc</pub><pmid>10584952</pmid><doi>10.1053/jhsu.1999.1269</doi><tpages>10</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over allograft Biological and medical sciences bone graft Bone Transplantation Distal radius external fixation External Fixators Female Follow-Up Studies Fracture Fixation, Internal Fracture Healing - physiology Humans Male Medical sciences Middle Aged Orthopedic surgery Postoperative Complications - diagnostic imaging Radiography Radius Fractures - diagnostic imaging Radius Fractures - surgery Range of Motion, Articular - physiology Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome Wrist Injuries - diagnostic imaging Wrist Injuries - surgery |
| title | Treatment of unstable distal radius fractures with cancellous allograft and external fixation |
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