ISSN 2458-7834
 
2023, Vol: 12, Issue: 3
12 / 3Current Issue Online First Archive Aims and Scope Abstracting & Indexing Most Accessed Articles Most Downloaded Articles Most Cited Articles
Required files to be uploaded

Conflict of Interest Disclosure Statement
Copyright Transfer Form
Ethical Approval
Title Page

Original Article 


Treatment of distal radius fractures with external fixation, limited open reduction and dorsal autologous cancellous onlay bone grafting

Mordechai Vigler, J. Henk Coert, Alexander John Kaminsky, Richard S. Gilbert, Michael R. Hausman.

Abstract
Objectives: Distal radius fractures with their high incidence, are commonly encountered and have many methods for treatment. External fixation with grafting supplementation is still utilized by many surgeons today achieving good subjective and objective outcomes. We have modified previously reported external fixation with supplementation techniques to decrease the amount of graft utilized and have evaluated the outcomes.
Methods: This retrospective study of 29 patients evaluates a treatment technique of a dorsal autologous cancellous iliac crest bone onlay graft with external fixation and limited open reductions for distal radial fractures. Range of motion, grip strength and radiographic outcome were scored. The mean follow-up was 2.5 years.
Results: Supplemental fixation was utilized in 8 of the 29 cases, 6 with percutaneous Kirschner wires and 2 with internal fixation with screws but without plates. The overall complication rate was 6 out of 29, of which, only 3 patients had loss of reduction, 1 with 5 mm loss of radial height, and 2 with 2 mm loss of articular congruity, but all with good/excellent outcomes. There were 79% good/excellent results and 21% fair results, using the Green and O’Brien classification.
Conclusion: Compared to current published results of distal radial fractures treated with external fixation supplemented with packed intramedullary autologous cancellous iliac crest graft, our dorsal on- lay technique is as effective a treatment modality. Additionally, there are several advantages including less bone graft to be harvested and associated morbidity.

Key words: Autologous cancellous bone graft, distal radius fracture, dorsal on-lay graft, external fixation.


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Mordechai Vigler
Articles by J. Henk Coert
Articles by Alexander John Kaminsky
Articles by Richard S. Gilbert
Articles by Michael R. Hausman
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Mordechai Vigler, J. Henk Coert, Alexander John Kaminsky, Richard S. Gilbert, Michael R. Hausman. Treatment of distal radius fractures with external fixation, limited open reduction and dorsal autologous cancellous onlay bone grafting. Hand Microsurg. 2012; 1(1): 10-16. doi:10.2399/emd.12.88598

Web Style

Mordechai Vigler, J. Henk Coert, Alexander John Kaminsky, Richard S. Gilbert, Michael R. Hausman. Treatment of distal radius fractures with external fixation, limited open reduction and dorsal autologous cancellous onlay bone grafting. https://handmicrosurgeryjournal.com/?mno=163125 [Access: January 11, 2024]. doi:10.2399/emd.12.88598

AMA (American Medical Association) Style

Mordechai Vigler, J. Henk Coert, Alexander John Kaminsky, Richard S. Gilbert, Michael R. Hausman. Treatment of distal radius fractures with external fixation, limited open reduction and dorsal autologous cancellous onlay bone grafting. Hand Microsurg. 2012; 1(1): 10-16. doi:10.2399/emd.12.88598


Vancouver/ICMJE Style

Mordechai Vigler, J. Henk Coert, Alexander John Kaminsky, Richard S. Gilbert, Michael R. Hausman. Treatment of distal radius fractures with external fixation, limited open reduction and dorsal autologous cancellous onlay bone grafting. Hand Microsurg. (2012), [cited January 11, 2024]; 1(1): 10-16. doi:10.2399/emd.12.88598


Harvard Style

Mordechai Vigler, J. Henk Coert, Alexander John Kaminsky, Richard S. Gilbert, Michael R. Hausman (2012) Treatment of distal radius fractures with external fixation, limited open reduction and dorsal autologous cancellous onlay bone grafting. Hand Microsurg, 1 (1), 10-16. doi:10.2399/emd.12.88598


Turabian Style

Mordechai Vigler, J. Henk Coert, Alexander John Kaminsky, Richard S. Gilbert, Michael R. Hausman. 2012. Treatment of distal radius fractures with external fixation, limited open reduction and dorsal autologous cancellous onlay bone grafting. Hand and Microsurgery, 1 (1), 10-16. doi:10.2399/emd.12.88598


Chicago Style

Mordechai Vigler, J. Henk Coert, Alexander John Kaminsky, Richard S. Gilbert, Michael R. Hausman. "Treatment of distal radius fractures with external fixation, limited open reduction and dorsal autologous cancellous onlay bone grafting." Hand and Microsurgery 1 (2012), 10-16. doi:10.2399/emd.12.88598


MLA (The Modern Language Association) Style

Mordechai Vigler, J. Henk Coert, Alexander John Kaminsky, Richard S. Gilbert, Michael R. Hausman. "Treatment of distal radius fractures with external fixation, limited open reduction and dorsal autologous cancellous onlay bone grafting." Hand and Microsurgery 1.1 (2012), 10-16. Print. doi:10.2399/emd.12.88598


APA (American Psychological Association) Style

Mordechai Vigler, J. Henk Coert, Alexander John Kaminsky, Richard S. Gilbert, Michael R. Hausman (2012) Treatment of distal radius fractures with external fixation, limited open reduction and dorsal autologous cancellous onlay bone grafting. Hand and Microsurgery, 1 (1), 10-16. doi:10.2399/emd.12.88598




Most Viewed Articles
Most Accessed Articles

  • Giant intramuscular lipoma of arm: A case report and review of the literature
    Muzaffer Durmus, Ahmet Demirhan Dal, Abdul Kerim Yapici, Sedat Avsar, Yalcin Bayram
    Hand Microsurg. 2014; 3(3): 87-90
    » Abstract » doi: 10.5455/handmicrosurg.173820

  • Cubital tunnel syndrome due to heterotrophic ossification caused by radial head fracture: A case report
    Seyitali Gumustas, Haci Bayram Tosun, Ismail Agir, Abuzer Uludag
    Hand Microsurg. 2014; 3(1): 24-28
    » Abstract » doi: 10.5455/handmicrosurg.1577

  • Munchausen’s syndrome or pure self-mutilation? A case of self-inflicted tendon injury
    Burak Kaya, Servet Elcin Alpat, Mehmet Sonmez, Cem Cerkez, Savas Serel
    Hand Microsurg. 2014; 3(3): 83-86
    » Abstract » doi: 10.5455/handmicrosurg.172607

  • Radial nerve grafting in high energy humeral fractures
    Yusuf Gürbüz, Tahir Sadık Sügün, Kemal Özaksar, Murat Kayalar, Tulgar Toros, İbrahim Kaplan
    Hand Microsurg. 2012; 1(2): 60-64
    » Abstract » doi: 10.2399/emd.12.58077

  • The utility of onion extract gel containing topical allantoin and heparin after surgical treatment of upper extremity burn scars
    Mehmet Ihsan Okur, Alpagan Mustafa Yildirim, Bilsev Ince
    Hand Microsurg. 2014; 3(3): 74-79
    » Abstract » doi: 10.5455/handmicrosurg.172436

    •
    Most Downloaded
    Top Downloaded Articles

  • Bone island and hand involvement – A short review
    Ganesh Singh Dharmshaktu, Binit Singh
    Hand Microsurg. 2018; 7(2): 93-97
    » Abstract » doi: 10.5455/handmicrosurg.258665

  • Lipofibromatous hamartoma of the digital nerve: A case report
    Emin Sir, Alper Aksoy
    Hand Microsurg. 2018; 7(1): 45-48
    » Abstract » doi: 10.5455/handmicrosurg.255406

  • Love sign’s love for glomus tumor
    Ankit Shukla, Varun Verma, Roshni Shukla, Rajesh Chaudhary, Saurab Sharma, Sajid Mohammad
    Hand Microsurg. 2018; 7(2): 105-108
    » Abstract » doi: 10.5455/handmicrosurg.279749

  • Synovial chondromatosis of the wrist
    Murat Kayalar, Abuzer Uludag, Basak Doganavsargil Yakut, Ahmet Savran
    Hand Microsurg. 2018; 7(2): 109-111
    » Abstract » doi: 10.5455/handmicrosurg.269392

  • The three bony point relationship of the elbow-Why is there still a lack of consensus?
    Supreeth Nekkanti, Dama Kondaiah Naidu, Jasmine Sebastin, Kamal Prasad, Mohan Yeshwanth, Archana Meka
    Hand Microsurg. 2018; 7(2): 79-82
    » Abstract » doi: 10.5455/handmicrosurg.291476

    •
    Most Cited Articles
    Most Cited Articles

    About Hand and Microsurgery

    Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more.



    For best results, please use Internet Explorer or Google Chrome.

    Contact Information
    POLICIES & JOURNAL LINKS
    Author Login
    Reviewer Login
    About Publisher
    Advertising Policy
    Author's Rights and Obligations
    Conflict of Interest Policy
    Copyright Information
    Digital Archiving & Preservation Policies
    Editorial Policies
    Peer Review Policy
    Editorial & Peer Review Process
    License Information
    Open Access Policy
    Plagiarism Policy
    Privacy Policy
    Protection of Research Participants (Statement On Human And Animal Rights)
    Publication Ethics and Publication Malpractice Statement
    Corrections, Retractions & Expressions of Concern
    Self-Archiving Policies
    Statement of Informed Consent
    Terms of Use