Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Sep 14:18:150-154.
doi: 10.1016/j.jor.2019.09.006. eCollection 2020 Mar-Apr.

Distal radius correction osteotomy with tricortical bone graft is a successful method in heavy smokers

Yüksel Uğur Yaradılmış  1 , Ali Tecirli  1 , Çağrı Örs  2
Affiliations
Review

Distal radius correction osteotomy with tricortical bone graft is a successful method in heavy smokers

Yüksel Uğur Yaradılmış et al. J Orthop. .

Erratum in

Abstract

Background: Corrective osteotomy is a technically challenging surgical option to improve wrist function in tilted distal radius malunions. However fracture healing in smokers is adversely affected. The aim of this study was to evaluate the clinical and radiological effect of cigarettes on bone union in heavy-smokers who underwent corrective osteotomy with a triangular bone graft harvested from the iliac crest.

Method: Fifteen patients, who were treated using trapezoidal block grafts taken from the iliac crest, who were smokers of 20 or more cigarettes daily (heavy smokers) with no chronic disease, and who consented to participate in the study. Fifteen non-smoker patients of the same age group were determined as the control group. Radiological measurements were made to include radial inclination and ulnar variance in pre-operative and post-operative radiographs. Functional evaluation was performed using Q-DASH and MAYO hand-wrist scores.

Results: In both groups, the mean age of the patients was 49,1 ± 3,92 years. Smokers group the bone union in the osteotomy line was observed after 16,63 (12-24 h) weeks, non-smokers grup 14.1 (12-24) weeks (p = 0.06). Range of motion is found similar clinic between in groups (p > 0.05). Q-DASH for group smokers was 17.54 ± 1.85, nonsmokers 17.20 ± 1.24 (p = 0,878); MAYO was 82.27 ± 6.06 for 82.00 ± 7.74 (p = 0.874). for group B. No statistically significant difference was noted between the groups.

Conclusion: Our study showed that cigarette smoking did not have negative effect on union time in the metaphyseal region after correction osteotomy. The time of bone-union in heavy-smokers was 2.5 weeks more than that of non-smokers.

Keywords: Corrective osteotomy; Distal radial fractures; Heavy smokers; Malunion; Tricortical bone graft.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Surgical technique.
Fig. 2
Fig. 2
a: Pre-operative anteroposterior & lateral graphy (7.months after fracture), b: Postoperative 6. Months anteroposterior& lateral graphy control graphy.
See this image and copyright information in PMC

References

    1. Graham T.J. Surgical correction of malunited fractures of the distal radius. J Am Acad Orthop Surg. 1997;5(5):270–281. - PubMed
    1. Fernandez D.L. Correction of post-traumatic wrist deformity in adults by osteotomy, bone grafting and internal fixation. J Bone Joint Surg Am. 1982;64:1164–1178. - PubMed
    1. Cobb T.K., Gabrielsen T.A., Campbell D.C., 2nd, Wallrichs S.L., IlstrupDM Cigarette smoking and nonunion after ankle arthrodesis. Foot Ankle Int. 1994;15(2):64–67. - PubMed
    1. Chen F., Osterman A.L., Mahony K. Smoking and bony union after ulna-shortening osteotomy. Am J Orthoped. 2001;30(6):486–489. - PubMed
    1. Wieland A.W.J., Dekkers G.H.G., Brink P.R.G. Open wedge osteotomy for malunited extra articular distal Radius fractures with plate osteosynthesis without bone grafting. Eur J Trauma. 2005;31:148–153. doi: 10.1007/s00068-005-1405-5. - DOI

LinkOut - more resources