Prognostic factors in the treatment of carpal scaphoid non-unions
| Autor: | Fabian Moungondo, Frederic Schuind, W. El Kazzi |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Microsurgery medicine.medical_treatment Avascular necrosis Bone healing 030230 surgery Revascularization Non union 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Carpal Bones Bone autograft Fracture Healing Scaphoid Bone 030222 orthopedics Bone Transplantation business.industry medicine.disease Prognosis Magnetic Resonance Imaging Surgery Carpal bones medicine.anatomical_structure Scaphoid bone Fractures Ununited Radiology business Epidemiologic Methods |
| Zdroj: | European journal of orthopaedic surgerytraumatology : orthopedie traumatologie. 27(1) |
| ISSN: | 1432-1068 |
| Popis: | In this literature review, the authors analyse the prognostic factors in the curative treatment of scaphoid non-unions. The main negative prognostic factors are smoking, the time elapsed since the fracture, and avascular necrosis of the proximal fragment. If the latter is present, the revascularization by a pedicle or microsurgical bone autograft is probably the treatment of choice. In non-unions without evidence of osteonecrosis, vascularized bone grafts are probably not superior to conventional bone grafts, which can presently be performed under arthroscopic control, with minimal morbidity. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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