Logo of The Journal of Bone & Joint Surgery (Br)
Quick search:        
          Advanced Search
Guest Access | Sign In
This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow My Folders
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sanchez-Sotelo, J.
Right arrow Articles by Madero, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sanchez-Sotelo, J.
Right arrow Articles by Madero, R.

Treatment of fractures of the distal radius with a remodellable bone cement

A PROSPECTIVE, RANDOMISED STUDY USING NORIAN SRS

J. Sanchez-Sotelo, MD, Consultant Orthopaedic Surgeon; L. Munuera, PhD, Professor of Orthopaedic Surgery; and R. Madero, MS, Statistician

Departments of Orthopaedic Surgery and Biostatistics, Hospital ‘La Paz’, Paseo de la Castellana 261, 28046 Madrid, Spain.

Correspondence should be sent to Dr J. Sanchez-Sotelo at the Department of Orthopaedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA.

We performed a prospective, randomised study on 110 patients more than 50 years old with fractures of the distal radius to compare the outcome of conservative treatment with that using remodellable bone cement (Norian skeletal repair system, SRS) and immobilisation in a cast for two weeks.

Patients treated with SRS had less pain and earlier restoration of movement and grip strength. The results at one year were satisfactory in 81.54% of the SRS patients and 55.55% of the control group. The rates of malunion were 18.2% and 41.8%, respectively. There was a significant relationship between the functional and radiological results. Soft-tissue extrusion was present initially in 69.1% of the SRS patients; most deposits disappeared progressively, but persisted in 32.73% at one year.

We conclude that the injection of a remodellable bone cement into the trabecular defect of fractures of the distal radius provides a better clinical and radiological result than conventional treatment.




This article has been cited by other articles:


Home page
 J Bone Joint Surg BrHome page
J. F. Keating, A. H. R. W. Simpson, and C. M. Robinson
The management of fractures with bone loss
J Bone Joint Surg Br, February 1, 2005; 87-B(2): 142 - 150.
[Full Text] [PDF]


(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General