桡骨远端骨折后干骺端骨缺损的治疗。使用磷酸钙骨水泥（BIOBON）的中期结果
[Treatment of metaphyseal bone defects after fractures of the distal radius. Medium-term results using a calcium-phosphate cement (BIOBON)].
作者信息
Linhart W, Briem D, Schmitz N D, Priemel M, Lehmann W, Rueger J M
机构信息
Klinik für Unfall-, Hand und Wiederherstellungschirurgie, Universitätsklinikum Hamburg-Eppendorf, Germany.
出版信息
Unfallchirurg. 2003 Aug;106(8):618-24. doi: 10.1007/s00113-003-0628-3.
PROBLEM
Since 1998 the calcium-phosphate cement BIOBON has been an established tool for the operative treatment of metaphyseal bone defects. No data are currently available in the literature on the clinical results of employing BIOBON:
METHODS
For the evaluation of the mediumterm outcome in the therapy of metaphyseal bone defects after distal radial fractures, we examined 29 patients in a retrospective study. These patients with unstable radial fractures were treated between 1998 and 2001 with BIOBON and additional osteosynthesis.
RESULTS
We performed a clinical and radiological examination of 20 patients (69.0%) after an average period of 18.35 months (9-40 months). In all patients parts of the bone replacement material were still visible radiologically. The average outcome using the Gartland and Werley score was 7.5 points (2-21) and therefore a good result.
CONCLUSION
Calcium-phosphate cements represent a good alternative to autogenous bone transplantation, especially in elderly patients.
问题
自1998年以来，磷酸钙骨水泥BIOBON一直是治疗干骺端骨缺损的常用手术工具。目前文献中尚无关于使用BIOBON的临床结果的数据。
方法
为了评估桡骨远端骨折后干骺端骨缺损治疗的中期结果，我们在一项回顾性研究中检查了29例患者。这些桡骨不稳定骨折患者在1998年至2001年间接受了BIOBON和额外的骨固定治疗。
结果
在平均18.35个月（9 - 40个月）后，我们对20例患者（69.0%）进行了临床和放射学检查。在所有患者中，仍可通过放射学看到部分骨替代材料。使用Gartland和Werley评分的平均结果为7.5分（2 - 21分），因此结果良好。
结论
磷酸钙骨水泥是自体骨移植的良好替代物，尤其适用于老年患者。
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