The treatment of delayed union and non-union of the carpal scaphoid by screw fixation.
نویسندگان
چکیده
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 techniques such as bone grafting are stressed.
منابع مشابه
بررسی نتایج عملکردی و رادیولوژیک درمان جوش نخوردگی اسکافوئید به دنبال پیوند استخوان با و بدون تثبیت
Background: Scaphoid fracture, as the most common fracture of the wrist, is complicated sometimes by non-:::union:::. The purpose of this study is to compare radiologic and functional outcomes in patients with scaphoid non-:::union::: who were treated by bone graft with fixation (pin or screw) or without fixation.Methods: In this cohort retrospective study, all patients with scaphoid non-:...
متن کاملAcutrak 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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Background and purpose: Ëxternal fixation is currently considered as a standard treatment for open tibial fractures however, due to the long-term hospitalization and some other complications, some researchers have proposed intramedullary nailing as the alternative surgical treatment. This study was conducted to compare the treatment of open tibial shaft fractures by external fixation and int...
متن کاملبررسی نتایج عملکردی درمان جوش‌نخوردگی استخوان اسکافویید: گزارش کوتاه
Background: Scaphoid non::::union:::: remains a challenging problem for hand surgeons. In this study, we assessed the functional outcome of scaphoid non::::union:::: treatment and the influence of a number of variables on it.Methods: In this study we recruited 24 patients with scaphiod non::::union:::: by consecutive sampling at Dr. Ali Shariati Teaching Hospital, in Tehran, Iran in 2008-2011. ...
متن کاملScrew fixation in the management of the fractured carpal scaphoid.
Although most recent fractures of the carpal scaphoid unite with immobilisation in a well-fitting plaster, some fail to do so within a reasonable time, say three months. Fractures associated with perilunar dislocation are particularly prone to delay. For these, as well as for fractures showing delayed union or non-union, internal fixation provides a speedy return to activity. Over a period of t...
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ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 66 1 شماره
صفحات -
تاریخ انتشار 1984