Abstract:

The aim of this study was to evaluate prospective patients with periarticular fractures where a metaphyseal bone defect was grafted with high compressive calcium sulfate cement. The calcium sulfate cement MIIG X3, (Wright Medical Technology, Inc, Arlington, TN) was used in 45 patients with periarticular fractures—distal radial, tibial plateau, humeral head, and calcaneal fractures—to fill the metaphyseal defect. All fractures were treated either with open or closed reduction, fracture fixation, and the cement was applied openly or closed. Radiographs were evaluated for fracture reduction, joint line gap, and step, as well as for rate of graft replacement by bone. All fractures united without an additional procedure. There were no wound infections or other complications attributed to the graft. At three-month follow-up, a complete graft replacement by bone was observed in all fractures. Joint line step was not developed in any patient, but a joint line gap of 3 mm was observed postoperatively in one patient with a tibial plateau fracture. Loss of reduction occurred in one patient with an extra-articular distal radial fracture treated with closed reduction and k-wire fixation. Cement that escaped into the joint or the surrounding soft tissues was not visible at the six-week follow-up. In conclusion, the results of this study confirm the safety and the efficacy of this cement when it is used as graft with the appropriate fixation method in traumatic metaphyseal bone defects.

Authors:

Georgios I. Drosos, MD, PhD, Assistant Professor of Orthopaedics, Democritus University of Thrace, Department of Orthopaedic Surgery, University General Hospital of Alexandroupolis, Alexandroupolis, Greece, Eleni C. Babourda, MD, Orthopaedic Surgeon, University General Hospital of Alexandroupolis Alexandroupolis, Greece, Athanasios Ververidis, MD, PhD, Lecturer of Orthopaedics,Democritus University of Thrace, Department of Orthopaedic Surgery, University General Hospital of Alexandroupolis Alexandroupolis, Greece, Despoina Kakagia, MD, PhD, Assistant Professor of Plastic Surgery, Democritus University of Thrace, Department of Plastic and Reconstructive Surgery, University General Hospital of Alexandroupolis, Alexandroupolis, Greece, Dionisios-Alexandros Verettas, MD, PhD, MSc(Orth), Professor of Orthopaedics, Democritus University of Thrace, Department of Orthopaedic Surgery, University General Hospital of Alexandroupolis, Alexandroupolis, Greece

PMID: 23109071

For Direct IP Access please click this link