Arthroscopic treatment with absorbable bone cement for intra-articular comminuted fracture of the distal radius.

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Bibliographic Details
Title: Arthroscopic treatment with absorbable bone cement for intra-articular comminuted fracture of the distal radius.
Alternate Title: Tratamiento artroscópico con cemento óseo reabsorbible para la fractura intraarticular conminuta del radio distal.
Authors: Dou, Bangxian1 (AUTHOR), Tian, Huiling2 (AUTHOR), Li, Xuedong1 (AUTHOR) 912001079@qq.com
Source: Cirugía y Cirujanos. may/jun2026, Vol. 94 Issue 3, p254-260. 7p.
Subjects: Bone cements, Distal radius fractures, Surgical complications, Arthroscopy, Closed fracture reduction
Abstract (English): Objective: The objective of this study was to explore the clinical application value of arthroscopic injection of absorbable calcium sulfate bone cement in the treatment of distal radius intra-articular comminuted fractures. Methods: A total of 15 patients with distal radius intra-articular comminuted fractures treated in the Department of Hand Surgery I of our hospital from January 2020 to October 2021 were selected as the research subjects, including nine males and six females, aged 25-55. Closed reduction was performed first, followed by arthroscopic-assisted fracture reduction to eliminate step-off caused by the fracture and to inspect and repair damaged ligaments. Absorbable bone cement was injected into the fracture gap under fluoroscopy or arthroscopic guidance. The Mayo wrist score and Gartland-Werley score were used to assess wrist pain and joint function of the patients. Results: In the latest follow-up, 12 cases achieved excellent results in the Mayo score, and three cases achieved good results; Gartland-Werley score: 11 cases were excellent, and 4 cases were good. Conclusions: Arthroscopic injection of calcium sulfate bone cement for distal radius intra-articular comminuted fractures is effective, with the advantages of minimal trauma, satisfactory reduction, fewer post-operative complications, and the ability for early functional exercise in patients. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo: Explorar el valor clínico de la inyección artroscópica de cemento de sulfato de calcio reabsorbible en el tratamiento de la fractura conminutas intraarticular del radio distal. Métodos: Se seleccionaron 15 pacientes (9 hombres y 6 mujeres), de entre 25 y 55 años, con fractura conminuta intraarticular del radio distal tratados en nuestro hospital entre enero de 2020 y octubre de 2021. Primero se realiza una reducción cerrada y luego una reducción de fractura asistida por artroscopia para eliminar la dislocación causada por la fractura, examinar y reparar los ligamentos dañados. Bajo guía de fluoroscopia o artroscopia, el cemento óseo reabsorbible se inyecta en el espacio de fractura. Para evaluar el dolor de muñeca y la función articular del paciente se utilizaron la puntuación Mayo de muñeca y la puntuación de Gartland y Werley. Resultados: En el seguimiento reciente, 12 pacientes alcanzaron una excelente puntuación Mayo y 3 alcanzaron una buena puntuación de Gartland y Werley: 11 casos excelentes y 4 casos buenos. Conclusiones: La inyección de cemento óseo de sulfato de calcio bajo artroscopia es efectiva en el tratamiento de fracturas conminutas en la articulación del radio distal, con pocas complicaciones posoperatorias y ejercicio funcional temprano en los pacientes. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
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Abstract:Objective: The objective of this study was to explore the clinical application value of arthroscopic injection of absorbable calcium sulfate bone cement in the treatment of distal radius intra-articular comminuted fractures. Methods: A total of 15 patients with distal radius intra-articular comminuted fractures treated in the Department of Hand Surgery I of our hospital from January 2020 to October 2021 were selected as the research subjects, including nine males and six females, aged 25-55. Closed reduction was performed first, followed by arthroscopic-assisted fracture reduction to eliminate step-off caused by the fracture and to inspect and repair damaged ligaments. Absorbable bone cement was injected into the fracture gap under fluoroscopy or arthroscopic guidance. The Mayo wrist score and Gartland-Werley score were used to assess wrist pain and joint function of the patients. Results: In the latest follow-up, 12 cases achieved excellent results in the Mayo score, and three cases achieved good results; Gartland-Werley score: 11 cases were excellent, and 4 cases were good. Conclusions: Arthroscopic injection of calcium sulfate bone cement for distal radius intra-articular comminuted fractures is effective, with the advantages of minimal trauma, satisfactory reduction, fewer post-operative complications, and the ability for early functional exercise in patients. [ABSTRACT FROM AUTHOR]
ISSN:00097411
DOI:10.24875/CIRU.24000510