ArticleJournal of wrist surgery2015
Is Bone Grafting Necessary in the Treatment of Malunited Distal Radius Fractures?
Article in Journal of wrist surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07476404 (Re-bleeding in Giant Meningioma and Intraoperative Hydroxyethyl Starch), which is not on this map. Cited by 15 papers.
What it found
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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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Re-bleeding in Giant Meningioma and Intraoperative Hydroxyethyl Starch (HES) Fluid Therapy: A Retrospective Cohort Study
Who cites it
15 citing papers in PubMed.
- Functional outcome after corrective osteotomy for malunion of the distal radius: a randomised, controlled, double-blind trial.International orthopaedics · 2020Trial
- A Survey on the Treatment of Extra-Articular Malunions of the Distal Radius.Journal of wrist surgery · 2026Article
- 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
- Management of Extra-Articular and Intra-Articular Distal Radius Malunion.Life (Basel, Switzerland) · 2024Review
- Distal radius fractures-Why do they fail?Journal of orthopaedics · 2024Article
- Current Concepts: Corrective Osteotomy for Extra-Articular Deformity Following a Distal Radius Fracture.Cureus · 2023Review
- Corrective Osteotomy of Malunited Fractures of the Distal Radius Using a Combined Surgical Approach.Hand (New York, N.Y.) · 2022Article
- Clinical outcomes of open-wedge corrective osteotomy using autogenous or allogenic bone grafts for malunited distal radius: A novel parameter for measuring the rate of bone union.Acta orthopaedica et traumatologica turcica · 2022Article
- Retrospective study of radial dome osteotomy with volar plate fixation versus K-wires in Madelung's deformity: long-term follow-up.International orthopaedics · 2022Article
- FDA-approved bone grafts and bone graft substitute devices in bone regeneration.Materials science & engineering. C, Materials for biological applications · 2021Review
- Comparison of an oblique single cut rotation osteotomy with a novel 3D computer-assisted oblique double cut alignment approach.Scientific reports · 2021Article
- Patient-specific plate for navigation and fixation of the distal radius: a case series.International journal of computer assisted radiology and surgery · 2021Article
- Bone healing of distal radius nonunion treated with bridge plating with bone graft substitutes in combination with systemic romosozumab administration: A case report.Joint diseases and related surgery · 2021Article
- Biomechanical considerations in the design of patient-specific fixation plates for the distal radius.Medical & biological engineering & computing · 2019Article
- Solitary ulnar shortening osteotomy for malunion of distal radius fractures: experience of a centre in the UK and review of the literature.Annals of the Royal College of Surgeons of England · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Open wedge osteotomy with bone grafting and plate fixation is the standard procedure for the correction of malunited distal radius fractures. Bone grafts are used to increase structural stability and to enhance new bone formation. However, bone grafts are also associated with donor site morbidity, delayed union at bone-graft interfaces, size mismatch between graft and osteotomy defect, and additional operation time. Purpose The goal of this study was to assess bone healing and secondary fracture displacement in the treatment of malunited distal radius fractures without the use of bone grafting. Methods Between January 1993 and December 2013, 132 corrective osteotomies and plate fixations without bone grafting were performed for malunited distal radius fractures. The minimum follow-up time was 12 months. Primary study outcomes were time to complete bone healing and secondary fracture displacement. Preoperative and postoperative radiographs during follow-up were compared with each other, as well as with radiographs of the uninjured side. Results All 132 osteotomies healed. In two cases (1.5%), healing took more than 4 months, but reinterventions were not necessary. No cases of secondary fracture displacement or hardware failure were observed. Significant improvements in all radiographic parameters were shown after corrective osteotomy and plate fixation. Conclusion This study shows that bone grafts are not required for bone healing and prevention of secondary fracture displacement after corrective osteotomy and plate fixation of malunited distal radius fractures. Level of evidence Therapeutic, level IV, case series with no comparison group.
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