Corrective osteotomies of the radius: Grafting or not?

Table 1 Results of the main evaluated literature

Ref.	No. of patients	Graft	Type of malunion	Time to healing	Clinical outcome (DASH)	Pain (VAS)	Complications
Gradl et al[27]	14	ICCCBG in all cases	Dorsal in 7 cases; volar in 4 cases	Not reported	36	4.2 ± 2.9	None
Malone et al[22]	3	ICCCBG in 2 cases; CCA in 1 case	Dorsal in all cases	9 wk	12	3.3	1 post-traumatic fracture
Peterson et al[28]	8	ICCCBG in all cases	Dorsal in 6 cases; volar in 2 cases	Not reported	10.8	Not reported	None
Rothenfluh et al[29]	14	ICCBG in all cases	Dorsal in all cases	12 wk	17.3	3.59	Secondary dislocation of the distal fragment was observed 21 d after surgery in 1 case
Wada et al[23]	16	ICCBG or tricalcium phosphate bone substitute	Dorsal and volar	13 wk	14	Significant improvement	2 delayed unions
Sato et al[24]	28	ICCCBG in all cases	Volar in all cases	7.5 wk	46	4.2	None
Miyake et al[26]	10	ICCBG in all cases	Dorsal in all cases	16 wk	Not reported	Significant improvement	Early postoperative screw loosening in 2 cases
Farshad et al[11]	28	None	Not specified	Not reported	Not reported	Not reported	Plate bending in 6 cases
Mahmoud et al[32]	22	None	Dorsal in all cases	10.4 wk	21.6 ± 13.5	3.4 ± 1.5	Intraoperative split in the shaft of the radius in 1 case
							CRPS in 1 case
							Residual pain in 2 cases
Opel et al[30]	20	None	Not specified	12 wk	13.4	Not reported	None
Ozer et al[31]	14	None	Dorsal in all cases	11 wk	28	Not reported	None
Tarallo et al[25]	20	None	Dorsal in all cases	16 wk	28.5	0.8	None

VAS: Vidual analogue scale; DASH: Disabilities of the arm, shoulder and hand; ICCCBG: Iliac crest cortico cancellous bone graft; CCA: Crushed cancellous allograft; ICCBG: Iliac crest cancellous bone graft; CRPS: Complex regional pain syndrome.