[Nonunion after distal radius fracture: A review]

P Liverneaux; S Facca; J J Hidalgo Diaz

doi:10.1016/j.hansur.2016.03.012

[Nonunion after distal radius fracture: A review]

Hand Surg Rehabil. 2016 Dec:35S:S120-S125. doi: 10.1016/j.hansur.2016.03.012. Epub 2016 Oct 27.

[Article in French]

Authors

P Liverneaux¹, S Facca², J J Hidalgo Diaz²

Affiliations

¹ Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10 avenue Baumann, 67400 Illkirch, France. Electronic address: [email protected].
² Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10 avenue Baumann, 67400 Illkirch, France.

PMID: 27890196
DOI: 10.1016/j.hansur.2016.03.012

Abstract

Nonunion after distal radius fracture is rare, serious and unpredictable. The preferred treatment is resection of the nonunion zone followed by open reduction and internal fixation with autologous iliac crest bone graft. When the distal fragment is less than 5mm high, a dorsal plate that bridges the radiocarpal joint is recommended. In patients with low functional demands, radiocarpal fusion is a logical choice. The bone healing rate is 58% and could be improved by using a vascular graft. Bone healing is not synonymous with good clinical outcomes. Nonunion after distal radius fracture is a serious problem and the functional prognosis is doubtful.

Keywords: Distal radius; Fracture; Nonunion; Pseudarthrose; Radius distal.

Publication types

Case Reports
Review

MeSH terms

Adult
Bone Plates
Fracture Fixation, Internal / methods
Humans
Male
Pseudarthrosis / diagnostic imaging
Pseudarthrosis / etiology*
Pseudarthrosis / surgery*
Radius Fractures / complications*
Treatment Outcome
Wrist Joint