ArticleActa orthopaedica2015
Non-union in 3 of 15 osteotomies of the distal radius without bone graft.
Article in Acta orthopaedica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed.
- Patient-reported Outcomes and the Use of Bone Grafting in Distal Radius Osteotomy for Malunion Correction: A Systematic Review.Journal of wrist surgery · 2026Article
- The Role of Bone Grafting in Corrective Osteotomy of Distal Radius Malunions.Journal of wrist surgery · 2025Article
- Clinical and Radiographic Outcomes of Gap Osteotomy Versus Dorsal Opening Wedge Osteotomy for Extra-Articular Distal Radius Malunion and Internal Fixation Using a Volar Locking Plate Without Bone Graft.Journal of hand surgery global online · 2025Article
- Current Concepts: Corrective Osteotomy for Extra-Articular Deformity Following a Distal Radius Fracture.Cureus · 2023Review
- Article
- Corrective osteotomies of the radius: Grafting or not?World journal of orthopedics · 2016Article
- Distal radius correction osteotomy with tricortical bone graft is a successful method in heavy smokers.Journal of orthopaedicsReview
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeOpen-wedge osteotomies of the distal radius create a void that is usually filled with either iliac crest bone graft or bone substitute. Previous studies have suggested that this is unnecessary. We investigated the safety of omitting the filling procedure. PATIENTS AND
methodsWe included 15 patients with a dorsal malunion of a distal radius fracture. A palmar approach and angle-stable plates were used. The patients were followed until there was radiographic and clinical healing.
resultsNon-union occurred in 3 of the 15 patients. The study, which had been planned to include 25 patients, was then discontinued. 6 osteotomies created a trapezoid void (no cortical contact); 3 of these did not unite after the index procedure (p = 0.04), but did subsequently, after autogenous bone grafting. A trapezoid void was significantly associated with non-union (p = 0.04).
interpretationWhen a trapezoid defect is created, one should consider bone substitute or autogenous bone graft. This has been shown to be safe in other studies.
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