RESUMO
BACKGROUND: Distal radius fractures are often surgically treated if insufficient reduction has been achieved or after conservative treatment has failed. Treatment using metal implants often demands a secondary operation to remove the implant. A bio-resorbable implant (in this study the Reunite osteosynthesis plate by Biomet Inc) should obviate the need for a secondary operation with equal functional results. MATERIALS AND METHODS: Thirty-two patients with a distal radius fracture were assigned to treatment with either a bio-resorbable implant (N = 19) or a metal implant (N = 13). Both groups received the same postoperative care and were followed for 52 weeks in the outpatient clinic. The hypothesis of this study was a decrease in re-operation rate in the experimental group with equal functional results. RESULTS: Five out of 19 patients treated with the Reunite plate were re-operated and four out of 13 treated with metal implants needed a secondary operation. In both implants, equal functional results in Range of Motion and DASH scores were found. CONCLUSION: There were no significant differences between the experimental and control group with respect to re-operations, DASH scores and Range of Motion. Because of the higher initial costs and equal results, the use of bio-resorbable implants must be considered carefully.
Assuntos
Implantes Absorvíveis , Placas Ósseas , Fixação Interna de Fraturas/instrumentação , Fraturas do Rádio/cirurgia , Traumatismos do Punho/cirurgia , Adolescente , Adulto , Idoso , Distribuição de Qui-Quadrado , Desenho de Equipamento , Feminino , Seguimentos , Fixação Interna de Fraturas/métodos , Humanos , Masculino , Metais , Pessoa de Meia-Idade , Medição da Dor , Probabilidade , Estudos Prospectivos , Próteses e Implantes , Falha de Prótese , Radiografia , Fraturas do Rádio/diagnóstico por imagem , Amplitude de Movimento Articular/fisiologia , Valores de Referência , Reoperação/métodos , Medição de Risco , Método Simples-Cego , Traumatismos do Punho/diagnóstico por imagem , Adulto JovemRESUMO
Most health professionals are aware of the criteria that need to be met to secure organ donation. Bone and soft tissue procurement is another issue, however. Even though allografts have been used since the 1880s, new techniques and an increase in the possible uses for allografts have recently increased the demand for bone and soft tissue. The criteria for choosing a bone donor is similar to organ donors with one major exception. A bone and soft tissue donor does not need the special circumstances of brain death.
