Calcium phosphate cement in wrist arthrodesis: three cases.

Abstract

With degenerative pathologies, arthrodesis of the wrist is a procedure reserved for preservative interventions that have failed. The least invasive procedure is Gill's technique, as modified by Luboshitz. To improve the results, we proposed a study of the advantages of local application of calcium phosphate cement. The procedure consisted of refreshing the remaining articular surfaces, obtaining a dorsal corticocancellous graft from the distal radius, and replacing the bone substance lost when removing the graft with calcium phosphate cement followed by smoothing flat the arthrodesis area to limit tendon conflicts. In our three cases with an average follow-up of 23 months, no complications were noted and radiological consolidation was achieved in 2 months. In view of this short series, we think that the addition of calcium phosphate cement to Gill's technique as modified by Luboshitz should improve the results of arthrodesis of degenerative wrists.