What is the Optimal Treatment of Atrophic Scaphoid Non-Union?

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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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Salvage of post surgical scaphoid non-union

Introduction Acceptable results of scaphoid fracture have been reported associated with development of surgical procedures and improvement of fixation screws. However, some scaphoid fractures result in nonunion after surgery. Nonunion of scaphoid fracture causes osteoarthritis of the wrist. Therefore, it is important to achieve union. In the present study, we retrospectively analyzed the salvag...

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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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A new variant of scaphoid reconstruction: Treatment of scaphoid non-union with avascular bone interponate and high compression screw (Synthes®)

Scaphoid fractures as frequently overseen injuries often result in scaphoid non-unions, that need to be treated to prevent carpal collapse and secondary cartilage damage. Vital bone tissue and compression of fracture and bone graft ends seem to be crucial in for ossification and final bone healing. In the present study we compare our results using a high compression screw (HCS Synthes(®)) to re...

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A modified matti-russe technique for the treatment of scaphoid waist non-union and pseudarthrosis

BACKGROUND The aim of this study was to analyze the long-term results of a modified Matti-Russe technique for the treatment of scaphoid non-union and pseudarthrosis. The modification was based on the use of bone graft taken from the ipsilateral distal radius, rather than from the iliac crest, as originally described. MATERIAL/METHODS Between 1987 and 2000, 23 consequent male patients with sca...

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ژورنال

عنوان ژورنال: Journal of Clinical and Analytical Medicine

سال: 2016

ISSN: 1309-0720,1309-2014

DOI: 10.4328/jcam.4345