Minimal incision bone graft and screw fixation for scaphoid nonunion with substantial bone loss

Kahhaleh, Edward; Gkotsi, Antonia; Kazzi, Wissam El

doi:10.1177/17531934211000579

Cited by 1 publication

(2 citation statements)

References 4 publications

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“…Ahrend et al . 15 studied the distribution of scaphoid volumetric bone mineral density (VBMD), and found that the peripheral region had high VBMD, while the center and waist had the lowest VBMD, which explained why most common fractures appeared in the waist. Apart from this, the small volume of the scaphoid and the abundant ligaments of the peripheral joints have also brought great treatment challenges.…”

Section: Discussionmentioning

confidence: 99%

“…The blood supply of the scaphoid mainly comes from the nourishing vessels of the scaphoid waist, which also explained why it is easy to develop aseptic necrosis and fracture nonunion after scaphoid lumbar fracture. Ahrend et al 15 studied the distribution of scaphoid volumetric bone mineral density (VBMD), and found that the peripheral region had high VBMD, while the center and waist had the lowest VBMD, which explained why most common fractures appeared in the waist. Apart from this, the small volume of the scaphoid and the abundant ligaments of the peripheral joints have also brought great treatment challenges.…”

Section: Main Findings Of the Studymentioning

confidence: 99%

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Comparison of Two Different Percutaneous Screw Fixations for Treating Herbert B2‐Type Acute Scaphoid Fractures

Teng

et al. 2022

Orthopaedic Surgery

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Objective: Scaphoid fracture was the most common carpal fracture and the most challenging. The purpose of this study was to investigate and compare the clinical effects of closed reduction and percutaneous cannulated screw internal fixation under fluoroscopy and arthroscopy-assisted percutaneous cannulated screw internal fixation in the treatment of Herbert B2-type of acute scaphoid fractures.Methods: A retrospective controlled study was conducted on 29 patients with Herbert B2-type acute scaphoid fracture with a displacement of >1 mm admitted to our hospital from January 2017 to June 2021. Patients were divided into two groups, 11 patients were treated with closed reduction percutaneous cannulated screw internal fixation under fluoroscopy and 18 patients were treated with percutaneous cannulated screw internal fixation assisted by arthroscopy. The operative time, intraoperative fluoroscopy times, fracture healing time, complications, and postoperative wrist function score of the two groups were compared.Results: All patients were followed up for 6-18 months (mean follow-up duration: 10.38 AE 2.69 months). The respective operation times in the arthroscopy group and fluoroscopy group was 51.50 AE 6.69 min and 56.73 AE 11.48 min, respectively (p > 0.05). The number of fluoroscopies performed in the arthroscopy group was (6.83 AE 1.30), which was less than that in the fluoroscopy group (10.91 AE 2.62) (p < 0.05). All fractures in the arthroscopy group healed after the operation, and the fracture healing time was 11.44 AE 1.25W. Ten patients in the fluoroscopy group healed. The fracture healing time was 13.60 AE 2.32 W. The fracture healing time in arthroscopy group was less than that in the fluoroscopy group (p < 0.05). One patient in the fluoroscopy group had nonunion and healed after bone grafting and internal fixation. At the postoperative 6-month follow-up, the modified Mayo wrist function score was used to evaluate the clinical results. The wrist function score of patients in the arthroscopy group was 90 (85, 95), which was >80 (80, 90) in the fluoroscopy group (z = 2.74, p < 0.05). Conclusion:For Herbert B2-type acute scaphoid fracture with fracture displacement > 1 mm, the arthroscopy-assisted percutaneous cannulated screw internal fixation has less fluoroscopy times, short fracture healing time, and good recovery effect of wrist function compared to the fluoroscopy.

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Section: Discussionmentioning

confidence: 99%

Section: Main Findings Of the Studymentioning

confidence: 99%

Comparison of Two Different Percutaneous Screw Fixations for Treating Herbert B2‐Type Acute Scaphoid Fractures

Teng

et al. 2022

Orthopaedic Surgery

View full text Add to dashboard Cite

show abstract

Minimal incision bone graft and screw fixation for scaphoid nonunion with substantial bone loss

Abstract: Informed consent Informed consent for non-identifiable patient information and images to be published was provided by the patient.

Cited by 1 publication

References 4 publications

Comparison of Two Different Percutaneous Screw Fixations for Treating Herbert B2‐Type Acute Scaphoid Fractures

Comparison of Two Different Percutaneous Screw Fixations for Treating Herbert B2‐Type Acute Scaphoid Fractures

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