Arthroscopic Bone Grafting and Kirschner-Wires Fixation for Scaphoid Nonunion
نویسندگان
چکیده
منابع مشابه
Percutaneous screw fixation without bone grafting for established scaphoid nonunion with substantial bone loss.
Ununited fractures of the scaphoid with extensive bone resorption are usually treated by bone grafting and internal fixation, using either an open or a minimally invasive technique. We studied the feasibility of percutaneous fixation without bone grafting in a consecutive series of 27 patients with established nonunion of an undisplaced fracture of the scaphoid and extensive local resorption of...
متن کاملScaphoid nonunion reconstructed with vascularized bone-grafting pedicled on 1,2 intercompartmental supraretinacular artery and external fixation.
BACKGROUND Vascularized bone-grafting pedicled on 1,2 intercompartmental supraretinacular artery (1,2 ICSRA) has been recommended as a treatment alternative for established scaphoid nonunion complicated with proximal pole avascular necrosis (AVN). Previous reports focused the studies on the union rate and the revascularization of the transferred graft. However, the postoperative wrist stiffness...
متن کاملAnatomic Locking Plate Fixation for Scaphoid Nonunion
Nonunion can occur relatively frequently after scaphoid fracture and appears to be associated with severity of injury. There have been a number of techniques described for bone grafting with or without screw fixation to facilitate fracture healing. However, even with operative fixation of scaphoid fractures with bone grafting nonunion or malunion rates of 5 to 10 percent are still reported. Thi...
متن کاملThe factors affecting outcome after non-vascular bone grafting and internal fixation for nonunion of the scaphoid.
This study identified variables which influence the outcome of surgical management on 126 ununited scaphoid fractures managed by internal fixation and non-vascular bone grafting. The site of fracture was defined by a new method: the ratio of the length of the proximal fragment to the sum of the lengths of both fragments, calculated using specific views in the plain radiographs. Bone healing occ...
متن کاملVascularized bone graft for scaphoid nonunion.
The management of recalcitrant nonunion of the scaphoid can be frustrating. Recent understanding of the vascular anatomy of the distal radius has helped in the management of these problems. Vascularized bone grafting for scaphoid nonunion has improved the union rates. Consequently, familiarity with this procedure is an important tool for any surgeon who treats scaphoid nonunion. Although there ...
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ژورنال
عنوان ژورنال: Archives of Hand and Microsurgery
سال: 2020
ISSN: 2586-3290,2586-3533
DOI: 10.12790/ahm.20.0015