The Use of a Vascularized Distal Ulna Autograft for Complex Distal Radius Fracture Nonunions

Kokmeyer, Daniel; Merrell, Gregory A.; Kleinman, William B.; Baltera, Robert M.

doi:10.1016/j.jhsa.2019.10.013

Cited by 5 publications

(7 citation statements)

References 9 publications

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“…e wrist joint is one of the joints with the highest frequency and the widest range of human activities, and it undertakes a large number of human activities in daily life. Improper treatment will seriously affect the quality of life of patients [16][17][18].…”

Section: Discussionmentioning

confidence: 99%

Analysis of Postoperative Complications and Related Factors Affecting Prognosis in 50 Patients with Distal Radius Fractures

Yuan

Wang

Lü

2021

Evidence-Based Complementary and Alternative Medicine

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Objective. To explore the postoperative complications of distal radius fractures and analyze the related factors that affect its prognosis. Methods. The clinical data of 50 patients with distal radius fractures admitted to our hospital from October 2016 to September 2019 were retrospectively analyzed. All patients were followed up for 6–12 months, and their postoperative complications were recorded. Collect general patient information and related clinical data. During the follow-up process, Gartland and Werley wrist function scoring system was used to evaluate the prognosis of patients’ joint function. Univariate analysis and multiple logistic regression models were used to analyze the related factors that affected the prognosis of patients. Results. 15 patients with postoperative complications were found during the follow-up period, with an incidence rate of 30.00%. Univariate analysis showed that the patient’s age, cause of injury, AO classification, shortened deformity, whether it was osteoporosis, surgical method, whether it was combined with other fractures on the same side, whether it was comminuted fracture, and the time to start postoperative exercise were all related to the distal radius. The prognosis of fractures is related ( P < 0.05 ). Multivariate logistic analysis showed that age, AO classification, surgical method, whether it was combined with other fractures on the same side, whether it was comminuted fracture, and the time to start postoperative exercise were the independent factors affecting the prognosis of distal radius fractures ( P < 0.05 ). Conclusion. The postoperative complications of distal radius fractures are higher. The prognosis is related to the patient’s age, AO classification, surgical method, whether it is combined with other fractures on the same side, whether it is comminuted fracture, and the time to start postoperative exercise. Therefore, choosing an appropriate surgical method and starting exercise in time can effectively improve the recovery of the patient’s wrist function and reduce the occurrence of complications.

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Section: Discussionmentioning

confidence: 99%

Analysis of Postoperative Complications and Related Factors Affecting Prognosis in 50 Patients with Distal Radius Fractures

Yuan

Wang

Lü

2021

Evidence-Based Complementary and Alternative Medicine

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“…The wrist joint is one of the joints with the highest frequency and the widest range of human activities, and it undertakes a large number of human activities in daily life. Improper treatment will seriously affect the quality of life of patients [22][23][24] . Therefore, it is extremely important to explore the relevant factors that affect the prognosis of patients with distal radius fractures and to better restore wrist joint function.…”

Section: Discussionmentioning

confidence: 99%

Post-operative complications in patients with distal radius fractures

Rashid¹,

Baba²,

Gani³

et al. 2023

Nat. J. Clin. Orthop.

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Introduction: Fractures of the distal radius have complex morphology resulting in many complications, seriously affecting the normal hand function of patients. Aim and Objective: To explore the post-operative complications of distal radius fractures. Materials and Methods: This prospective study was conducted at the govt. Bone and Joint Hospital Barzulla, an associated Hospital of Govt. Medical College, Srinagar from January 2020 to December 2020. In this study a total of 30 patients with distal radius fractures were enrolled. The selected surgical methods were internal fixation in 17 cases and external fixation in 13 cases. Results: In this study, 10 patients had post-operative complications with the overall complication rate of (33.33%). Among them, carpal tunnel syndrome and traumatic arthritis are the most common ones, each accounting for 6.67%. Conclusion:The postoperative complication rate of distal radius fractures is relatively high. The prognosis is related to the patient's age, AO classification, surgical method and the time to start exercise after surgery.

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“…The safety and efficacy of PIBF surgery in complex nonunion of the forearm have been previously demonstrated in adults. [14][15][16][17][18][19] In this study, we aimed to evaluate these issues Synostosis, radial head dislocation about using PIBF in complex nonunion of the radius in children with congenital pseudoarthrosis (patients 3 and 4), OI (patient 1), and infantile osteomyelitis (patient 2). Congenital forearm pseudoarthrosis is a sporadic condition with few reports in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…It is safe and effective in complex nonunion of the radius and proximal two-thirds of the ulna in adults. [14][15][16][17][18][19] In this study, we aimed to investigate the outcome of PIBF in treating children with complex radius nonunion.…”

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confidence: 99%

Treatment of Recalcitrant Nonunion of the Radius With Posterior Interosseous Bone Flap in Children

Kamrani

Jehanno

Arabzadeh

et al. 2021

Journal of Pediatric Orthopaedics

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Background: Forearm nonunion is a rare condition in children, and its treatment is usually successful. However, nontraumatic nonunion can be resistant to treatment. Although the vascularized fibular bone graft has been frequently used for complex forearm nonunion, there is no consensus on the best treatment method. In this study, we aimed to investigate the outcome of the antegrade posterior interosseous bone flap (PIBF) in treating children with complex radius nonunion. Methods: The participants consisted of 3 girls and 1 boy ranging from 31 months to 9 years of age. They were treated with PIBF surgery, and the nonunion of the radius was fixed with a plate or an external fixator. The nonunion was due to congenital pseudoarthrosis, osteogenesis imperfecta, or infantile osteomyelitis. All patients were evaluated for a clinical and radiologic union. Results: The radiologic union was achieved 2 to 3 months after the surgery in all cases. The functional recovery of the elbow, forearm, and wrist was satisfactory except for 1 patient who experienced donor site fracture, and finally radioulnar synostosis accompanied by radial head dislocation. Conclusion: Because of the simplicity of its technique and short duration of surgery, PIBF can be a reliable and less-demanding alternative to vascularized fibular bone graft in the treatment of complex forearm nonunion in children. Level of Evidence: Level IV.

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The Use of a Vascularized Distal Ulna Autograft for Complex Distal Radius Fracture Nonunions

Cited by 5 publications

References 9 publications

Analysis of Postoperative Complications and Related Factors Affecting Prognosis in 50 Patients with Distal Radius Fractures

Analysis of Postoperative Complications and Related Factors Affecting Prognosis in 50 Patients with Distal Radius Fractures

Post-operative complications in patients with distal radius fractures

Treatment of Recalcitrant Nonunion of the Radius With Posterior Interosseous Bone Flap in Children

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