Bone grafiting combined with Sauvé-Kapandji Procedures for the treatment of aseptic distal radius non-union.
Distal radius fractures are the most common type of upper limb fractures in adults. Non-union after distal radius fracture is rare, serious and unpredictable. The aim of our paper is to analyse the clinical and radiological outcomes of bone grafting and Sauvé-Kapandji Procedures for the treatment of aseptic distal radius non-union. We enrolled 13 patients with distal radius aseptic non-union. The following parameters were evaluated: The surgical time, elbow, forearm and wrist range of motion, the subjective quality of life and the wrist function measured by Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), Pain Visual Analogic Score (VAS) and the complication rate. Bone union was measured using the radiographic union score as described by Radiographic Union Score (RUS). The evaluation endpoint was set at 24 months after surgery. All patients achieved fracture union. Grip strength improved by 12.4 kg. There was also improvement in wrist flexion, in wrist extension, and forearm pronosupination. These ranges of motion and grip strength improvements were statistically significant. Only 6 patients returned to full activity. This surgical technique represents a reliable alternative for treatment of distal radius aseptic non-unions. Further studies are needed to assess the long-term clinical results of this surgical procedure.
['Rollo|G|G|', 'Luceri|F|F|', 'Pasquino|A|A|', 'Pichierri|P|P|', 'Tomarchio|A|A|', 'Bisaccia|M|M|', 'Garagnani|L|L|', 'Biserni|M|M|', 'Agnoletto|M|M|', 'Marmotti|A|A|', 'Mangiavini|L|L|', 'Meccariello|L|L|']
D005593:Fracture Fixation, Internal D006801:Humans D011788:Quality of Life D011884:Radius D011885:Radius Fractures D016059:Range of Motion, Articular D016896:Treatment Outcome D014955:Wrist Joint
non-union graft wrist bone healing injury trauma