The use of tricorticocancellous bone graft in severely comminuted intra-articular fractures of the distal radius

The Journal of Hand Surgery
Richard A RogachefskyBrooks Applegate

Abstract

We report the results of a retrospective study of the use of tricorticocancellous iliac crest bone graft in 12 patients with acute AO type C3.2 or type C3.3 fractures of the distal radius who were followed up for at least 1 year. Twelve of 17 patients treated with the protocol were available for follow-up evaluation. All fractures were treated with open reduction and combined internal and external fixation. Five fractures were plated dorsally, 1 volarly, and 5 volarly and dorsally. Five patients had AO type C3.2 fractures and 7 had AO type C3.3 fractures. Nine of 10 radiographic parameters that were restored to near-normal values during the surgery were maintained at near-normal levels at the final follow-up evaluation at a mean of 28 months after surgery. Nine fractures had less than 2 mm of articular step-off of the distal radius and 8 had less than 3 mm of total articular incongruity (gap plus step-off). In 10 patients the radial length was restored to at least 10 mm. The mean arc of flexion-extension was 67% and the mean grip strength was 57% of that of the uninjured side. According to the Gartland and Werley demerit-point system 5 of the patients had good or excellent results. According to the modified Green and O'Brien cl...Continue Reading

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Citations

Apr 22, 2008·Clinical Biomechanics·Dominik ParschSteffen J Breusch
Nov 17, 2015·Hand : Official Journal of the American Association for Hand Surgery·Brandon E EarpPhilip E Blazar
Apr 25, 2006·The Journal of Hand Surgery·Richard A RogachefskyBrooks Applegate
Aug 2, 2008·Journal of Orthopaedic Trauma·Gerald GruberBernhardt G Alexander
Apr 8, 2011·The Journal of Bone and Joint Surgery. American Volume·Jae Kwang KimSeung Hwan Kook

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