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J Wrist Surg 2023; 12(06): 509-516
DOI: 10.1055/s-0043-1761946
Scientific Article

The Use of Montage Bone Putty in Assisting in the Maintenance of Reduction in Comminuted Distal Radius Fractures

Irene J. Pien
1   Department of Surgery, Division of Plastic and Reconstructive Surgery, University of California, Los Angeles, California
,
Nirbhay S. Jain
1   Department of Surgery, Division of Plastic and Reconstructive Surgery, University of California, Los Angeles, California
,
Prosper Benhaim
2   Department of Orthopaedic Surgery, University of California, Los Angeles, California
,
Arezou Yaghoubian
1   Department of Surgery, Division of Plastic and Reconstructive Surgery, University of California, Los Angeles, California
,
Kodi K. Azari
2   Department of Orthopaedic Surgery, University of California, Los Angeles, California
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Funding None.
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Abstract

Background The distal radius fracture is the most common fracture in the United States. Achieving stable reduction and fixation of complex fracture patterns can be challenging. In order to help maintain reduction of comminuted fracture to simplify plating, the calcium phosphate-based bone putty Montage has been developed.

Questions/Purposes Does Montage assist in achieving stable reduction and fixation of complex distal radius fractures with an acceptable complication profile?

Patient and Methods We retrospectively analyzed all patients who were treated intraoperatively with Montage bone putty along with volar plate fixation at a large-volume urban county hospital. Preoperative, intraoperative, and postoperative measurements of radiographic features were recorded at 2 and 6 months, as were any complications. Statistical analysis was then performed on these values.

Results Preoperative and postoperative radiographs demonstrated significant improvement in standard distal radius fracture measurements, reflecting adequate reduction with the use of Montage intraoperatively. Critically, radiographs demonstrated maintenance of reduction compared to intraoperative fluoroscopy images at 2 months, showing short-term stability of the use of Montage in these fracture patterns as well as long-term stability at 6 months in a subset of patients. There were no major complications in this study.

Conclusion In this study, we demonstrate the utility of Montage bone putty for complex distal radius fractures with short-term follow-up and limited long-term follow-up. This initial study underlines its efficacy in maintaining reduction without major complications.

Level of Evidence IV, Therapeutic

Keywords

Montage bone putty - nonunion - distal radius fracture - comminuted fracture

Ethical Review

This study was approved by the Olive View-UCLA Medical Center IRB Review Board.


Statement of Human and Animal Rights

All human and animal studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.


Statement of Informed Consent

All patients were informed of possible participation in any 165 experimental treatments in this study and agreed to participate.




Publikationsverlauf

Eingereicht: 15. Oktober 2022

Angenommen: 04. Januar 2023

Artikel online veröffentlicht:
13. Februar 2023

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