A modified matti-russe technique for the treatment of scaphoid waist non-union and pseudarthrosis
نویسندگان
چکیده
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 scaphoid waist non-union or pseudarthrosis underwent surgery by a modified Matti-Russe technique. During the 5-year follow-up, patient evaluation was based on radiological findings and the Green and O'Brien scoring system. RESULTS Anatomy was restored and healing of the non-union was achieved in 21 (91.3%) patients. The other 2 patients failed to achieve union and underwent the same operation a second time, which was successful. According to the Green and O'Brien scoring system, 82.6% (19/23) of patients showed excellent results and 17.4% (4/23) showed good results at 2-year follow-up. At 5-year follow-up, 73.9% of patients (19/23) had excellent results and 26.0% (4/23) had good results. No early post-operative complications developed. Two patients demonstrated mild radiological radio-scaphoid arthritis at 2.5 years postoperatively. All patients returned to previous levels of activity. CONCLUSIONS The standard Matti-Russe technique is an old but reliable and inexpensive method for the treatment of long-standing or neglected scaphoid non-unions or pseudarthroses. The modification of this established method, based on use of the distal radius as a donor site, reduces operative time, can be performed through a single approach, does not show donor site morbidity, and allows the use of regional anaesthesia.
منابع مشابه
Pseudarthrosis of the Tubercle of the Scaphoid Bone in Immature Skeleton: Case Report
The aim of this study was to present a case report on pseudarthrosis of the scaphoid tubercle, a pathological condition that affects the young and active population. This entity often develops as a result of failure to make an early diagnosis and a late start to treatment. This report describes the case of a 15-year-old patient with a history of a neglected fracture of the scaphoid tubercle tha...
متن کاملFixation 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...
متن کاملThe results of 100 cases of pseudarthrosis in the scaphoid bone treated by the Matti-Russe operation.
This has been done as described by Russe (1960), except that the cavity prepared in both parts of the scaphoid with the aid of a small gouge, is filled with one snugly fitting piece of cancellous bone taken from the ilium, small chips being added when necessary to fill up any remaining gaps. The tightly fitting plug provides immediate immobilisation of the fragments. A plaster splint was used f...
متن کاملHybrid Russe Procedure for Scaphoid Waist Fracture Nonunion With Deformity.
PURPOSE To assess the results of a hybrid Russe procedure using a corticocancellous strut, cancellous autologous nonvascularized bone graft, and cannulated headless compression screw to reduce the deformity reliably from a collapsed scaphoid nonunion, provide osteoinductive stimulus, and stabilize the fracture for predictable union. METHODS A hybrid Russe procedure was performed for scaphoid ...
متن کاملThe comparison of results for the bone grafting in treatment of scaphoid non:union: with and without avascular necrosis
Abstract Background: The varieties of treatment methods for the scaphoid non:::union::: have always been a discussable issue for orthopaedic surgeons. The current study, considered to be review for treatment results of the patients who sustained the scaphoid non:::union::: with or without avascular necrosis and compared these two groups clinically and radiologically. Methods: The clinical and ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 17 شماره
صفحات -
تاریخ انتشار 2011