Arthroscopic treatment with absorbable bone cement for intra-articular comminuted fracture of the distal radius

Objective:The objective of this study was to explore the clinical application value of arthroscopic injection of absorbable calcium sulfate bone cement in the treatment of distal radius intra-articular comminuted fractures.Methods: A total of 15 patients with distal radius intra-articular comminuted fractures treated in the Department of Hand Surgery I of our hospital from January 2020 to October 2021 were selected as the research subjects, including nine males and six females, aged 25-55.Closed reduction was performed first, followed by arthroscopic-assisted fracture reduction to eliminate step-off caused by the fracture and to inspect and repair damaged ligaments.Absorbable bone cement was injected into the fracture gap under fluoroscopy or arthroscopic guidance.The Mayo wrist score and Gartland-Werley score were used to assess wrist pain and joint function of the patients.Results: In the latest follow-up, 12 cases achieved excellent results in the Mayo score, and three cases achieved good results; Gartland-Werley score: 11 cases were excellent, and 4 cases were good.Conclusions: Arthroscopic injection of calcium sulfate bone cement for distal radius intra-articular comminuted fractures is effective, with the advantages of minimal trauma, satisfactory reduction, fewer post-operative complications, and the ability for early functional exercise in patients.