Percutaneous Fixation Of Scaphoid Non-union. A systematic Review

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چکیده

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Percutaneous screw fixation without bone grafting of scaphoid non-union.

BACKGROUND Delays in diagnosis and inadequate treatment of acute scaphoid fractures can lead to non-unions, presenting surgeons with unique challenges regarding optimal management. OBJECTIVES To evaluate the clinical and radiographic outcome of scaphoid non-unions treated with percutaneous screw fixation. METHODS The study group comprised 12 patients with scaphoid non-unions of an average d...

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Fixation techniques for non-union of the scaphoid.

PURPOSE To compare outcomes of 3 fixation modalities for scaphoid non-union. METHODS 27 men and 6 women aged 20 to 48 (mean, 28) years with non-union of the scaphoid involving the proximal pole (n=13), waist (n=12), and distal pole (n=8) were randomised to undergo the Herbert screw fixation (n=11), the Matti Russe bone grafting (n=9), or the Kohlman modification of vascularised muscle pedicle...

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Acute percutaneous scaphoid fixation. A pilot study.

Fractures of the scaphoid are most common in young men; immobilisation in a cast usually means a long period away from work and athletic activities. Early rigid fixation has been shown to promote a rapid functional recovery, but open reduction and internal fixation is technically demanding with the dangers of damage to the radiocarpal ligaments, the scaphotrapezial joint, and the blood supply o...

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The treatment of delayed union and non-union of the carpal scaphoid by screw fixation.

A simple technique for screw fixation of the carpal scaphoid in cases of delayed union and non-union is described. The results obtained in 32 patients treated by this method are reported. The average follow-up was three years ranging from 10 months to 12 years. Union was obtained in 28 patients. The causes of failure to unite are discussed and the advantages of the reported method over other te...

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Acutrak versus Herbert screw fixation for scaphoid non-union and delayed union.

PURPOSE To compare the treatment outcome of Acutrak versus Herbert screw fixation for scaphoid non-union and delayed union. METHODS Records of 132 patients who underwent Herbert screw fixation (n=61) or Acutrak screw fixation (n=71) with or without bone grafting for scaphoid non-union and delayed union by a single surgeon were reviewed. The most common fracture site was the waist of the scaph...

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ژورنال

عنوان ژورنال: Benha Medical Journal

سال: 2020

ISSN: 2357-0016

DOI: 10.21608/bmfj.2020.79644