Pseudarthroses du scaphoïde traitées par greffon vascularisé de Kuhlmann : résultats radiographiques et complications

Jessu, M.; Wavreille, G.; Strouk, G.; Fontaine, C.; Chantelot, Christophe

doi:10.1016/j.main.2008.04.004

Cited by 13 publications

(7 citation statements)

References 37 publications

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“…A binary logistic regression was done to produce a model that can predict the effect of smoking and AVNPP on healing. Regarding time for healing of the non-union, we conducted an analysis including only four studies in which we had separate time for healing for each patient, 10,12,14,18 and we did both a meta-analysis and a Mann-Whitney test. All the ORs were calculated using the Peto method due to the sparsity of the events.…”

Section: Discussionmentioning

confidence: 99%

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The Influence of Smoking on Healing of Scaphoid Non-union after a Vascularized Pedicle Bone Flap Operation: A Review and Meta-analysis

Konstantinidis¹,

Christidis

Konstantinou

et al. 2022

Orthopedic Reviews

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Background The purpose of this study is to compare the vascularized bone flaps (VBF) that are used in operations for scaphoid non-union in smokers and non-smokers and to scrutinize if the better biological potential of the VBFs can counteract the negative influence of smoking on healing. Materials and Methods Our study included articles published until 2016, with scaphoid non-union patients who were operated on with a VBF or a VBG. Results Eighteen articles met eligibility criteria with 335 non-smokers and 136 smokers totally. Healing of the scaphoid non-union was significantly more probable in the non-smoking group (OR=5.54, p<0.001). Patients with avascular necrosis in the proximal pole of the scaphoid (AVNPP) and non-AVNPP showed that non-smoking favors a better healing rate in both of these subgroups (p<0.001 and p<0.001, respectively). Non-smokers have 11 times and the non-AVNPP patient’s 7.7 times greater probability of healing of the non-union. Meta-analysis of the data for time for healing showed a longer time in the smokers’ group by 2.46 weeks, though non-statistically significant. The analysis could not prove that smoking is a predisposing factor for the development of AVNPP (spearman=0.094, p<0.05). Despite that, preoperative smoking cessation proved to be an inadequate healing moderator (OR=3.5, p=0.268). Finally, VBFs showed a significantly better healing rate compared with nVBGs in smokers (p=0.001). Conclusions A hand surgeon should always take into consideration that smoking negatively influences the healing potential of a scaphoid non-union despite the theoretically superior biological background that VBFs offer. In patients who refuse to quit smoking, a VBF may be considered a better choice than a conventional graft.

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Section: Discussionmentioning

confidence: 99%

“…In some cases, we managed to get some extra unpublished data on smoker patients after personal communication with the authors. [10][11][12][13][14]…”

Section: Types Of Studiesmentioning

confidence: 99%

The Influence of Smoking on Healing of Scaphoid Non-union after a Vascularized Pedicle Bone Flap Operation: A Review and Meta-analysis

Konstantinidis¹,

Christidis

Konstantinou

et al. 2022

Orthopedic Reviews

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“…In the study by Jessu et al 17 with VBG of the volar portion of the distal radius based on the anterior transverse carpal artery, a consolidation rate of 73% was obtained in 30 cases. In that series, two cases had signs of avascular necrosis of the proximal pole, and none presented consolidation with the proposed treatment ( Table 2 ).…”

Section: Analysis Of Resultsmentioning

confidence: 95%

“…Jessu et al 17 used VBG based on the anterior transverse carpal artery, i.e. , the vascularized bone graft proposed by Kuhlmann et al 31 They obtained a 73% consolidation rate in 30 patients with nonunion of the scaphoid; however, the two cases of proximal pole necrosis did not present consolidation.…”

Section: Discussionmentioning

confidence: 99%

Bone graft in the treatment of nonunion of the scaphoid with necrosis of the proximal pole: a literature review

Severo

Lemos

Lech

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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Scaphoid fractures are the most common fractures of the carpal bones, corresponding to 60%. Of these, 10% progress to nonunion; moreover, 3% can present necrosis of the proximal pole. There are various methods of treatment using vascularized and non-vascularized bone grafts.To evaluate and compare the rate of scaphoid consolidation with necrosis of the proximal pole using different surgical techniques.The authors conducted a review of the literature using the following databases: PubMed and BIREME/LILACS, where 13 case series were selected (ten with use of vascularized bone grafts and three of non-vascularized bone grafts), according to inclusion and exclusion criteria.In most cases VBGs were used, especially those based on the 1,2 intercompartmental supraretinacular artery, due to greater reproducibility in performing the surgical technique.

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“…Enfin la morbidité associée n'est pas plus importante. Les complications spécifiques sont rares ; seules deux études [42,43] [44], même en première intention. Concernant les stades IV, avec nécrose du pôle proximal confirmé à l'IRM, les résultats sont nettement moins bons et très variables selon les études.…”

Section: Discussionunclassified

Le transfert osseux vascularisé prélevé sur la face antérieure du radius dans la reconstruction des os du carpe

Mathoulin

Gras

Roukos

2010

Chirurgie de la Main

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Pseudarthroses du scaphoïde traitées par greffon vascularisé de Kuhlmann : résultats radiographiques et complications

Cited by 13 publications

References 37 publications

The Influence of Smoking on Healing of Scaphoid Non-union after a Vascularized Pedicle Bone Flap Operation: A Review and Meta-analysis

The Influence of Smoking on Healing of Scaphoid Non-union after a Vascularized Pedicle Bone Flap Operation: A Review and Meta-analysis

Bone graft in the treatment of nonunion of the scaphoid with necrosis of the proximal pole: a literature review

Le transfert osseux vascularisé prélevé sur la face antérieure du radius dans la reconstruction des os du carpe

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