Scaphoid nonunion: Treatment by open reduction, bone graft, and staple fixation

Carpentier, Éric Le; Sartorius, Christian; Roth, H

doi:10.1016/s0363-5023(05)80015-2

Cited by 32 publications

(35 citation statements)

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“…From 2005 to 2006, 11 patients, 9 males and 2 females, of an average age of 29 years (range 19-45) with scaphoid nonunion lasting a mean of 10 months (range [8][9][10][11][12][13][14][15][16][17][18][19][20] were operated on in the Department of General and Hand Surgery, Pomeranian Medical University. The most common mechanism of injury was a fall on a hand in nine cases.…”

Section: Methodsmentioning

confidence: 99%

“…This score included as- [6][7][8][9][10][11][12][13][14][15][16][17][18] and included measurements of the same variables. In addition, an X-ray was taken to assess bone union which was classified with Dias criteria (17).…”

Section: Methodsmentioning

confidence: 99%

“…Delayed union or nonunion is an indication for surgery (3,4,8). Classical management includes debridement of the nonunion, followed by osteosynthesis with K-wires, Herbert screws or headless canullated screws with or without bone grafting (4,(9)(10)(11)(12)(13). Some authors choose the method of treatment based on the site of the facture and vascularity of the bone fragments (4).…”

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confidence: 99%

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Results of Scaphoid Nonunion Treatment with Vascularised Bone Grafting from the Distal Radius

Żyluk¹,

Walaszek²

2008

Polish Journal of Surgery

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Misdiagnosis or failed treatment of scaphoid fractures are frequently (25-45%) followed by disrupted healing and nonunion. This may reduce the wrist's capacity for occupational and daily use and, over time, lead to wrist arthrosis. Therefore, surgery is recommended even in asymptomatic nonunions of the scaphoid; the goal of this treatment is to achieve bone union and stability of the wrist. The aim of the study was to evaluate the results of operative management of scaphoid nonunion by vascularized bone grafting from the distal radius. Material and methods. Eleven patients, nine men and two women of a mean age of 29 (range 19-45 years) with scaphoid nonunion lasting a mean of 10 months (range 8-20) were recruited. The nonunion was localized in the waist of the scaphoid in seven patients and in proximal 1/3 in four patients. Operations were performed using cancellous bone grafts taken from the distal radius and supplied by the intercompartmental branch of the radial artery. Fracture fixation was accomplished with K-wires or headless canullated screws. The follow-up assessment at a mean of 10 months included measurements of wrist range of motion, grip strength and Mayo wrist score. Results. All patients achieved bone union. The mean Mayo wrist score increased from 25 points preoperatively to 75 points at the final assessment, which suggested significant improvement of the hand functions. In a qualitative evaluation, two patients had an excellent result, four had a good result, four had a fair result and one had a poor result. Surgery resulted in significant pain relief and increase in hand strength, but failed to improve wrist range of motion. The modest clinical outcomes do not allow a definitive conclusion to be reached, but the fact that bone union was achieved in all patients with no complications justifies continued use of this technique for the management of scaphoid nonunion.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Results of Scaphoid Nonunion Treatment with Vascularised Bone Grafting from the Distal Radius

Żyluk¹,

Walaszek²

2008

Polish Journal of Surgery

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“…Il s'agissait dans tous les cas de pseudarthroses sans arthrose ni nécrose (stades IIA et IIB d'Alnot et al [4]) consécutives à des fractures de types II, III et IV de Schernberg et al [5]. (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20).…”

Section: Introductionunclassified

Traitement des pseudarthroses du scaphoïde carpien par greffe corticospongieuse non vascularisée : étude rétrospective de 47 cas

Bellec

Alnot

2008

Chirurgie de la Main

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“…[2][3][4][5][6][7] The cause of DISI has been considered to be deformity of the scaphoid, including flexion (so-called humpback deformity) and shortening; therefore, emphasis has been placed on correcting the deformity, in addition to achieving bony union, for the treatment of scaphoid waist nonunions. Fisk 8 described a method for obtaining a bony union and the correction of humpback deformity by an interpositional graft using a wedgeshaped bone block harvested from the resected radial styloid.…”

mentioning

confidence: 99%

Analysis of Carpal Malalignment Caused by Scaphoid Nonunion and Evaluation of Corrective Bone Graft on Carpal Alignment

Watanabe

2011

The Journal of Hand Surgery

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Scaphoid nonunion: Treatment by open reduction, bone graft, and staple fixation

Cited by 32 publications

References 28 publications

Results of Scaphoid Nonunion Treatment with Vascularised Bone Grafting from the Distal Radius

Results of Scaphoid Nonunion Treatment with Vascularised Bone Grafting from the Distal Radius

Traitement des pseudarthroses du scaphoïde carpien par greffe corticospongieuse non vascularisée : étude rétrospective de 47 cas

Analysis of Carpal Malalignment Caused by Scaphoid Nonunion and Evaluation of Corrective Bone Graft on Carpal Alignment

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