Proximal Scaphoid Pole Reconstruction Utilizing Ipsilateral Proximal Hamate Autograft
نویسندگان
چکیده
منابع مشابه
Proximal scaphoid rib graft arthroplasty.
We prospectively reviewed 14 patients with deficiency of the proximal pole of the scaphoid who were treated by rib osteochondral replacement arthroplasty. Improvement in wrist function occurred in all except one patient with enhanced grip strength, less pain and maintenance of wrist movement. In 13 patients wrist function was rated as good or excellent according to the modified wrist function s...
متن کاملTotal volar extrusion of the lunate and scaphoid proximal pole with concurrent scapholunate dissociation.
This article describes a case of a 24-year-old man with a total volar extrusion of the lunate and scaphoid proximal pole with concurrent scapholunate dissociation. The viability of the lunate and the proximal pole of the scaphoid are at high risk in this type of injury. Scaphoid nonunion, avascular necrosis of the lunate and proximal pole of the scaphoid, and carpal instability are inevitable u...
متن کاملManagement of acute fractures and nonunions of the proximal pole of the scaphoid.
It is my belief that all acute proximal pole fractures should be treated by open reduction and internal fixation, via a dorsal approach. There is no longer any place for conservative treatment of these fractures, because a lengthy period of plaster immobilization is required and there is an unacceptably high risk of nonunion with conservative management. Unfortunately, nonunion of the proximal ...
متن کاملTreatment of scaphoid waist nonunions with an avascular proximal pole and carpal collapse. Surgical technique.
BACKGROUND Surgically, it is difficult to achieve union of a scaphoid nonunion that is associated with osteonecrosis of the proximal pole, and those with carpal collapse are especially difficult to treat. A variety of vascularized bone grafts can be used. The purpose of this study was to compare the effectiveness of two types of vascularized bone graft -- a distal radial pedicle graft and a fre...
متن کاملHemi-hamate arthroplasty provides functional reconstruction of acute and chronic proximal interphalangeal fracture-dislocations.
PURPOSE Hemi-hamate resurfacing arthroplasty is a treatment alternative for the management of severe acute and chronic dorsal proximal interphalangeal (PIP) fracture-dislocations. This study was designed to determine whether this procedure would successfully restore function after such injuries. METHODS Hemi-hamate reconstructions were performed on 33 patients (mean age, 34 years) who present...
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ژورنال
عنوان ژورنال: HAND
سال: 2016
ISSN: 1558-9447,1558-9455
DOI: 10.1177/1558944716628497