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Journal of Hand Surgery (British and European Volume)
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Articles

Norian SRS Versus Functional Treatment in Redisplaced Distal Radial Fractures: A Randomized Study in 20 Patients

P. KOPYLOV
K. ADALBERTH
K. JONSSON
P. ASPENBERG

From the Department of Orthopedics, Lund University, Lund, Sweden, the Department of Orthopedics, Faculty of Health Sciences, Linköping, Sweden and the Department of Diagnostic Radiology, Lund University, Lund, Sweden

Correspondence: Philippe Kopylov. Hand Unit, Department of Orthopedics, Lund University Hospital, SE-221 85 Lund, Sweden. Tel.: + 46 46 171507; Fax: + 46 46 13 07 32; E-mail: philippe.kopylov{at}ort.lu.se

We compared the use of Norian SRS, an injectable calcium phosphate bone cement, with functional treatment of redisplaced distal radial fractures in a prospective randomized study of 20 patients. The redisplaced fractures were either rereduced and stabilized by Norian SRS, or the displaced position was accepted and was not rereduced. All wrists were immobilized in a short-arm dorsal splint for 1 week, followed by a removable splint for another 3 weeks. The chosen primary effect variable was grip strength at 7 weeks, and this did not differ between the two treatment groups. The clinical results at 6 months in both groups were similar. We conclude that aggressive treatment of redisplaced fractures of the distal radius may be unnecessary in most women aged 50 years or more.

Journal of Hand Surgery (British and European Volume), Vol. 27, No. 6, 538-541 (2002)
DOI: 10.1054/jhsb.2002.0799
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