Abstract
PurposeDistal radius fractures are very common and account for approximately 17% of all fractures treated. Multiple treatment methods are available to treat these fractures, both operative and nonoperative. This study aimed at evaluating the functional and clinical outcomes after treatment of distal radius fractures with the IlluminOss® System in adult patients.MethodsA retrospective case series was performed in a single-level two-trauma center. All consecutive adult patients with a distal radius fracture, treated with the IlluminOss® System between 01 August 2012 and 15 August 2015, were included in this study. Baseline patient characteristics and clinical data were retrospectively extracted from the medical records. Radial inclination, volar/dorsal tilt, ulnar variance, and radial length were measured on the latest available standard radiographs. In addition, patients were prospectively subjected to physical examination and were asked to complete the Disabilities of the Arm, Shoulder, and Hand, Patient-Rated Wrist Evaluation, and Short Form-36 questionnaires.ResultsTwenty-six patients with 31 distal radius fractures were included. The median age at time of trauma was 77 years and 96% were females. Five patients developed a total of seven complications. Due to persisting pain one reoperation was performed, removing a small prominent part of the implant. Both patient-reported outcome scores and radiographic results were good to excellent.ConclusionsThe IlluminOss® System is a feasible option to treat distal radius fractures with seemingly good clinical and functional outcome. One out of seven complications required surgical intervention. These outcomes justify more detailed prospective research.
Highlights
Fractures of the distal radius account for an estimated 17% of all fractures treated in US Emergency Departments and make up one of the most common osteoporotic fractures [1, 2]
One of the four trauma surgeons in this trauma center treated patients with the IlluminOss® System and offered this as an experimental treatment option. This resulted in a total of 26 patients with 31 distal radius fractures that were treated with the IlluminOss® System
Seven complications developed in 31 fractures, of which one required a small surgical intervention
Summary
Fractures of the distal radius account for an estimated 17% of all fractures treated in US Emergency Departments and make up one of the most common osteoporotic fractures [1, 2]. Fractures of the distal radius can be treated operatively or non-operatively. The I lluminOss® System ( IlluminOss® Medical, East Providence, RI, USA) is a minimally invasive, patient-conforming, intraosseous fracture stabilization system [8]. The balloon, which spans the fracture, is infused with a monomer that polymerizes and hardens by applying blue light. This results in a stable and patient-conformed implant that can provide longitudinal strength and rotational stability (Fig. 1). The minimally invasive nature of the procedure and immediate start of functional after-treatment without plaster
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