Calcium phosphate cement in wrist arthrodesis: three cases

Journal of Orthopaedic Science - Tập 11 Số 3 - Trang 289-293 - 2006
Liverneaux, Philippe1, Khallouk, Raphiq2
1Department of Hand Surgery, Orthopaedic and Traumatology Center, France
2Department of Orthopaedic Surgery, General Hospital, Cognac, France

Tóm tắt

With degenerative pathologies, arthrodesis of the wrist is a procedure reserved for preservative interventions that have failed. The least invasive procedure is Gill's technique, as modified by Luboshitz. To improve the results, we proposed a study of the advantages of local application of calcium phosphate cement. The procedure consisted of refreshing the remaining articular surfaces, obtaining a dorsal corticocancellous graft from the distal radius, and replacing the bone substance lost when removing the graft with calcium phosphate cement followed by smoothing flat the arthrodesis area to limit tendon conflicts. In our three cases with an average follow-up of 23 months, no complications were noted and radiological consolidation was achieved in 2 months. In view of this short series, we think that the addition of calcium phosphate cement to Gill's technique as modified by Luboshitz should improve the results of arthrodesis of degenerative wrists.

Tài liệu tham khảo

citation_journal_title=Rev Chir Orthop Reparatrice Appar Mot; citation_title=Arthrodesis of the wrist in manual workers: apropos of 36 cases; citation_author=E Gaisne, F Dap, C Bour, M Merle; citation_volume=77; citation_publication_date=1991; citation_pages=537-44; citation_id=CR1 citation_journal_title=Handchir Mikrochir Plast Chir; citation_title=Indications and results of arthrodesis of the wrist; citation_author=H Lohmann, D Buck-Gramcko; citation_volume=14; citation_publication_date=1982; citation_pages=172-82; citation_id=CR2 citation_journal_title=Handchir Mikrochir Plast Chir; citation_title=Treatment outcome after surgical arthrodesis; citation_author=K Kalb, A Ludwig, A Tauscher, B Landsleitner, P Wiemer, H Krimmer; citation_volume=31; citation_publication_date=1999; citation_pages=253-9; citation_doi=10.1055/s-1999-13535; citation_id=CR3 citation_journal_title=Clin Orthop; citation_title=Surgery of the wrist in rheumatoid arthritis; citation_author=RH Brumfield, JP Conaty, JD Mays; citation_volume=142; citation_publication_date=1979; citation_pages=159-63; citation_id=CR4 citation_journal_title=J Hand Surg [Br]; citation_title=Wrist arthrodesis using an embedded iliac crest bone graft; citation_author=E Lenoble, H Ovadia, D Goutallier; citation_volume=18; citation_publication_date=1993; citation_pages=595-600; citation_id=CR5 citation_journal_title=J Hand Surg [Br]; citation_title=Total wrist arthrodesis using bowed crossed K-wires; citation_author=A Minami, H Kato, N Iwasaki; citation_volume=24; citation_publication_date=1999; citation_pages=410-5; citation_id=CR6 citation_journal_title=J Hand Surg [Am]; citation_title=Multiple stapling for wrist arthrodesis in the nonrheumatoid patient; citation_author=Y Benkeddache, H Gottesman, P Fourrier; citation_volume=9; citation_publication_date=1984; citation_pages=256-60; citation_id=CR7 citation_journal_title=Clin Orthop; citation_title=Wrist arthrodesis: technique and functional evaluation; citation_author=MS Moneim, CR Pribyl, JR Garst; citation_volume=341; citation_publication_date=1997; citation_pages=23-9; citation_id=CR8 citation_journal_title=J Bone Joint Surg Br; citation_title=Wrist arthrodesis using a dynamic compression plate; citation_author=J O'Bierne, MI Boyer, TS Axelrod; citation_volume=77; citation_publication_date=1995; citation_pages=700-4; citation_id=CR9 citation_journal_title=J Bone Joint Surg Br; citation_title=Wrist arthrodesis in rheumatoid arthritis: a new technique using internal fixation; citation_author=J Pech, A Sosna, V Rybka, D Pokorny; citation_volume=78; citation_publication_date=1996; citation_pages=783-6; citation_id=CR10 citation_journal_title=J Hand Surg [Br]; citation_title=Wrist arthrodesis: modified Gill's technique; citation_author=S Luboshitz, G Burstein, J Engel; citation_volume=27; citation_publication_date=2002; citation_pages=568-72; citation_id=CR11 citation_journal_title=Rev Chir Orthop Reparatrice Appar Mot; citation_title=Treatment of fibrous dysplasia of bone by calcium-phosphate cement: a case report; citation_author=P Liverneaux; citation_volume=89; citation_publication_date=2003; citation_pages=532-6; citation_id=CR12 citation_journal_title=Chir Main; citation_title=English to French trans-cultural adaptation of the DASH Outcome Measure; citation_author=T Dubert, P Voche, C Dumontier, A Dinh; citation_volume=20; citation_publication_date=2001; citation_pages=294-302; citation_doi=10.1016/S1297-3203(01)00049-X; citation_id=CR13 citation_journal_title=J Hand Surg [Am]; citation_title=Wrist arthrodesis using dorsal radial bone graft; citation_author=MB Wood; citation_volume=12; citation_publication_date=1987; citation_pages=208-12; citation_id=CR14 citation_journal_title=J Hand Surg [Br]; citation_title=Wrist arthrodesis using a sliding radial graft and plate fixation; citation_author=R Sorial, MA Tonkin, C Gschwind; citation_volume=19; citation_publication_date=1994; citation_pages=217-20; citation_id=CR15 citation_journal_title=J Formos Med Assoc; citation_title=Wrist arthrodesis using a slab bone graft from the dorsal radius; citation_author=CH Chang, JS Sun, SM Hou; citation_volume=97; citation_publication_date=1998; citation_pages=335-8; citation_id=CR16 citation_journal_title=J Hand Surg [Am]; citation_title=Complications following AO/ASIF wrist arthrodesis; citation_author=SV Zachary, PJ Stern; citation_volume=20; citation_publication_date=1995; citation_pages=339-44; citation_doi=10.1016/S0363-5023(05)80037-1; citation_id=CR17