76 patients were examined clinically and radiologically 27 to 36 years after a fracture of the distal radius. The average age was 31 at time injury 63 follow-up. In 81% there no difference between fractured non-fractured side. No patient had change his or her occupation leisure activities because fracture. There more degenerative changes in wrist than non-injured A statistically significant correlation found axial compression presence radio-carpal radio-ulnar joints. Treatment end radius...

An injectable material which hardened in situ to form a carbonated hydroxyapatite, Norian SRS (Norian Corp., Cupertino, USA), was used as the only treatment of unstable distal radial fractures six patients. Except for an external dorsal splint 2 weeks, no other used. The maintained reduction except one case there were technical problems during hardening and fragmented postoperatively. By 1 year all patients had satisfactory clinical outcome. There early return motion. possibility...

AbstractWe compared Norian SRS, an injectable calcium phosphate bone cement, with external fixation in the treatment of redisplaced distal radial fractures by a prospective randomized study 40 patients (women 50-80 years or men 60-80 years). After rereduc-tion, fracture was either stabilized injection SRS and immobilized cast for 2 weeks, externally fixed Hoffman's bar 5 weeks. Each patient evaluated at 2, 5, 7 weeks 3, 6 12 months. Functional parameters were grip strength, range motion...

Background and purpose In unstable distal radial fractures that are impossible to reduce or maintain in reduced position, the treatment of choice is operation. The type operation implant, however, a matter discussion. Our aim was investigate whether open reduction internal fixation would produce better result than traditional external fixation.Methods 50 patients with an comminute radius fracture were randomized either closed bridging fixation, using TriMed system. primary outcome parameter...

Fracture dislocations of the PIP joint are challenging to treat. In hemi-hamate arthroplasty, palmar lip surface is reconstructed using an osteochondral graft from hamate and immediate stability permits early movement. long term, collapse non-vascularized grafts might lead degenerative arthritis. We examined radiographic result after a minimum 4 years with special reference development osteoarthritis its relation clinical symptoms in eight patients, mean age 49 (25-66) years. After 60...

Abstract Malunion after a distal radius fracture can be treated with an osteotomy of the radius. Autologous iliac crest bone graft is often used to fill gap, but procedure associated donor site morbidity. In this study novel fast resorbing biphasic substitute consisting mixture calcium sulphate and phosphate (Cerament™ BoneSupport AB, Sweden). Fifteen consecutive patients, mean age 52 (27–71) years were included. All had malunion underwent osteotomy. A fragment specific fixation system,...

Background and purpose Distal radius fractures are most often treated nonoperatively, but sometimes they surgically when deemed unstable. Based on the literature, a consensus protocol for treatment has been developed in southern Sweden to aid clinicians their decision making. We evaluated results of this prospectively using validated outcome instrument (DASH) large consecutive population based series unselected patients.

We prospectively assessed the subjective, objective, and radiographic results at 1, 2, 5 years in 65 patients who had pyrocarbon proximal interphalangeal prostheses inserted between 2001 2010. Further operations were done on 10 of 89 joints (four for prosthetic extraction arthrodesis, two component changes, four soft tissue procedures). At 1 year, visual analogue scale score pain rest improved to 0 cm from a pre-operative 4 cm, activity 6 1.8 Disability Arm, Shoulder Hand 40 25. Range...

The Artelon CMC spacer is designed for surgical treatment of osteoarthritis (OA) in the carpometacarpal joint thumb (CMC-I). Good results using this degradable device were previously presented a pilot study. We now present from larger randomized, controlled, multicenter study.109 patients (94 females) with mean age 60 (42-83) years, suffering painful OA, included study at 7 centers Sweden. randomized to (test, n = 72) or tendon arthroplasty (control, 37) ratio 2:1. Perceived pain was...

Twenty-six patients were operated because of osteo-arthritis the trapeziometacarpal joint. After excision trapezium, they randomized to receive either a Swanson silicone trapezium implant or tendon interposition arthroplasty using strip abductor pollicis longus (APL). No infection clinical synovitis occurred and no major radiographic cyst formation was found. Two endoprostheses dislocated early. All 13 in group 11 APL subjectively satisfied at 2–5 year (mean, 43 months) follow-up. free pain...

The results of Swanson and Avanta metacarpophalangeal joint arthroplasties in rheumatoid patients were compared a prospective, randomized study 30 (120 implants). At 2-year follow-up, grip strength was measured, hand function assessed with the Sollerman test subjective outcome determined visual analogue scores. With both implants ulnar deviation flexion deformities decreased, there no difference between groups. increase range motion 7° greater than implants. Grip unaltered but scales showed...

We compared the use of Norian SRS, an injectable calcium phosphate bone cement, with functional treatment redisplaced distal radial fractures in a prospective randomized study 20 patients. The were either rereduced and stabilized by or displaced position was accepted not rereduced. All wrists immobilized short-arm dorsal splint for 1 week, followed removable another 3 weeks. chosen primary effect variable grip strength at 7 weeks, this did differ between two groups. clinical results 6 months...

Background and purpose — During the last decades, treatment of distal radius fractures (DRFs) has changed, with surgical intervention being more common new techniques. We investigated whether this change influenced subjective outcome. Here we report, year by year, 1-year score after a DRF over 10-year-period, using patient-reported outcome measure.Patients methods Patients aged 18 years or between 2003 2012 were prospectively consecutively registered in longitudinal database. 1 fracture, all...

Operative treatment for distal radius fractures continues to evolve, but small-fragment fixation has some advantages compared with previous methods. We assessed two groups of patients. Group 1 was an initial series patients treated at a large institution in the United States, and 2 review Lund, Sweden. The first group evaluated return routine activity. Return work or daily activity averaged 6 weeks (range, 3-16 weeks). second early grip strength range motion uninjured extremity. final...

Background and purpose Malunion after a distal radius fracture can be treated with an osteotomy of the radius. Often autologous iliac crest bone graft is used to fill gap, but this associated donor site morbidity. Instead graft, we have slow-resorbing substitute in combination minimally invasive fixation technique.Patients methods 25 consecutive patients dorsal malunion underwent osteotomy. A TriMed buttress pin radial plate were for fixation, Norian SRS as substitute. The followed minimum 1...

Eighteen out of 18 rheumatoid patients (at one centre a two-centre 30 patient study previously reported) with mean age 56 years, and 72/72 operated joints were randomized to Avanta/Sutter or Swanson MCP prostheses followed for 5 years. Both ulnar deviation extension lag improved already at 6 weeks remained The Avanta prosthesis had better range motion (ROM) than the Swanson. Six nine implants least implant fracture compared 1/9 ( P = 0.05) but did not change outcome subjectively. ROM 3...

Background and purpose We have previously shown in a randomized study that the first year after treatment, open reduction internal fixation resulted better grip strength forearm rotation than closed bridging external fixation. In present study, we investigated whether this difference persists over time. Patients methods The 50 patients included original (mean age 53 years, 36 women) were sent QuickDASH questionnaire an invitation to radiographic clinical examination mean of 5 (3–7) years....

In a randomized study, we included 23 osteoporotic patients with distal radial fracture and loss of reduction after 1 week. The was re-reduced. one group, self-setting hydroxyapatite, Norian SRS, injected into the wrist immobilized for 2 weeks dorsal splint (n 12). other 5 an external fixator 11). During operation, fragments were marked tantalum markers, so that during immobilization mobilization could be studied radiostereometric analysis (RSA). We found some recurrence compression in both...

Bone scan and sagittal projection CT of the scaphoid was performed in 10 patients with clinically suspected fractures. The primary follow-up plain radiographs were negative or equivocal for fracture. examination demonstrated fracture 7 normal findings 3. It is concluded that can replace bone to diagnose rule out institutions where nuclear medicine facilities are not available.

This retrospective study evaluates the results of 41 consecutive hand and forearm operations in 19 patients with systemic sclerosis performed between 1985 2000. The mean age was 50 (14-84) years. Twenty-seven were elective 14 acute, carried out for skin breakdown and/or necrosis. One minor wound healing problem occurred group. In acute group, seven healed uneventfully. Four had necrosis/infections after surgery, which required further surgery. Two repeated infections. Another patient only he...

Bone scan and sagittal projection CT of the scaphoid was performed in 10 patients with clinically suspected fractures. The primary follow-up plain radiographs were negative or equivocal for fracture. examination demonstrated fracture 7 normal findings 3. It is concluded that can replace bone to diagnose rule out institutions where nuclear medicine facilities are not available.

Objectives. To explore the ability of six outcome measures to capture clinically important changes in patients with rheumatic diseases undergoing hand surgery and study predictors activity performance different patient strata. Methods. A total 172 (median age 59 years, disease duration 18 years) were stratified into subgroups: diagnosis, age, general function, type surgery. Performance daily activities satisfaction assessed by Canadian Occupational Measure (COPM). Clinically improvement was...