Scaphoid nonunion treated with bone graft and Herbert screw
| Autor: | Gregoris Mitsionis, Panayotis N. Soucacos, Theodore A. Xenakis, Konstantinos N. Malizos, Alexandros E. Beris, Panayotis K Soucacos, Socratis E. Varitimidis |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Bone Screws Nonunion Dentistry Bone healing Bone grafting Fracture Fixation Internal Immobilization 03 medical and health sciences 0302 clinical medicine Fracture fixation medicine Deformity Humans Orthopedics and Sports Medicine Carpal Bones Retrospective Studies Fracture Healing 030222 orthopedics Bone Transplantation Osteosynthesis business.industry 030229 sport sciences Middle Aged medicine.disease Surgery Herbert screw Radius surgical procedures operative medicine.anatomical_structure Fractures Ununited Female medicine.symptom business Cancellous bone |
| Zdroj: | Acta Orthopaedica Scandinavica. 68:60-64 |
| ISSN: | 0001-6470 |
| DOI: | 10.1080/17453674.1997.11744747 |
| Popis: | We retrospectively reviewed 28 patients with symptomatic, established nonunion of the waist of the scaphoid who were treated with bone grafting and Herbert screw fixation. A volar approach was used in 20 patients, and a dorsal in 8. Grafting was performed with cancellous bone from the radius in 16 patients and a iliac wedge graft in 12 patients. At a mean follow-up of 3 (1-6) years. 5 of the 28 patients had not united. The surgical approach, the type of graft applied, and the duration of postoperative immobilization played a role for the final outcome. The volar approach appeared to be associated with a better outcome which may be attributed, in part, to the relatively better view of the nonunion achieved with this incision compared to the dorsal approach. The iliac wedge graft was more effective for reduction of the deformity and initial stabilization. We believe that the relatively long period, 3 months, of postoperative immobilization negatively effected the postoperative function because of stiffness. |
| Databáze: | OpenAIRE |
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