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Calcium phosphate cement in wrist arthrodesis: three cases
Philippe Liverneaux1, Raphiq Khallouk
1Department of Hand Surgery, Orthopaedic and Traumatology Center, 10 avenue Baumann, BP 80096 - F-67403 Illkirch CEDEX, France.
Summary
This study explored using calcium phosphate cement with a modified Gill's technique for wrist arthrodesis in degenerative wrist conditions. The results suggest this combination improves outcomes and achieves faster radiological consolidation.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- Wrist arthrodesis is indicated for failed conservative treatments in degenerative wrist pathologies.
- Gill's technique, modified by Luboshitz, is a minimally invasive surgical option.
- Calcium phosphate cement (CPC) was investigated for its potential to enhance arthrodesis outcomes.
Observation:
- The surgical procedure involved refreshing articular surfaces and harvesting a corticocancellous graft.
- Bone defects were filled with CPC, and the arthrodesis site was smoothed.
- Three cases were analyzed with an average follow-up of 23 months.
Findings:
- No complications were observed in the cases studied.
- Radiological consolidation of the wrist arthrodesis was achieved within 2 months.
- The addition of CPC to the modified Gill's technique showed promising results.
Implications:
- CPC augmentation may improve the success rate of wrist arthrodesis for degenerative conditions.
- This technique offers a potential advancement in managing complex wrist joint degeneration.
- Further research with larger cohorts is warranted to confirm these findings.
