CaP Cement is Equivalent to Iliac Bone Graft in Filling of Large Metaphyseal Defects

Oslo University Hospital20 enrolled

Overview

Background: A bone graft from the iliac crest has long been the gold standard for filling voids in opening wedge osteotomies. CaP bone cement has been considered the possible alternative to bone graft. Methods: 20 adult patients with distal radius malunions and dorsal deformities were randomised intra-operatively to bone graft (10) or CaP bone cement (10). Dorsal titanium locking plates were used and the wrist was stabilised in a cast for 8 weeks. Follow-ups for 24 months included VAS on wrist and iliac crest, grip strength, ROM bilaterally, Quick-DASH and Gartland \& Werley's functional scoring system. X-rays and CT scans were taken at 8 wks, 3-6-12-24 mths.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Dorsal Malunion of the Distal Radius

Interventions

corrective osteotomy distal radiusPROCEDURE

Opening wedge corrective osteotomy on dorsal malunions of the distal radius. Distraction and correction of deformity.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 100 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * distal radius malunion with dorsal deformity, disability and pain. Exclusion Criteria: * age under 18 years, bad health, inflammatory arthritis and radio-carpal osteoarthritis.

Outcomes

Primary Outcomes

volar angulation distal radius, x-ray

Time frame: 24 months

Data from ClinicalTrials.gov

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