conclusions our results in terms of asami scores are comparable with the published literature. furthermore, our return to work is better than most european studies (63%). all our patients said they would have the procedure again. we attribute this success partly to the multidisciplinary approach. we recommend early referral to a dedicated unit if there is any evidence of a non-:union:. results ...

We report the use of a free vascularised iliac bone graft in the treatment of 21 patients (19 men and 2 women) with an avascular nonunion of the scaphoid in which conventional bone grafting had previously failed. The mean age of the patients was 32 years (23 to 46) and the dominant wrist was affected in 14. The mean interval from fracture to the vascularised bone grafting was 39 months (9 to 62...

Background Surgical and conservative methods have been reported by various studies for high rates of fracture union and subsequent regain of function among patients with undisplaced or minimally-displaced scaphoid fractures. Hence, this study aims to analyze the best available evidence to comprehend the relative benefits and risks of these therapeutic options. Methods A systematic search of t...

Sixteen cases of dorsal transscaphoid perilunate fracture/dislocations in 15 patients were treated by open reduction and internal fixation of the scaphoid with a Herbert screw and/or Kirschner wires. All patients were male, with a mean age of 31 years. The average follow-up period was 3 years. These perilunate dislocations were transscaphoid in 13 cases, and transstyloid and transscaphoid in 3 ...

conclusions due to the high risk of non-:union: and mal-:union: in humerus shaft fracture, and because applying this simple and inexpensive technique significantly decreased these complications, injecting autologous bone marrow grafts is recommended for accelerating :union: in cases of humerus fracture. results the mean time of :union: was 8.54 ± 3.41 weeks for the individuals followed in the s...

 Abstract  Background: Reamed interlocking intramedullary nailing of the tibia is a procedure  for the treatment of a non-infected tibial non:::union:::. The purpose of this clinical  study was to evaluate the outcome of this method as a treatment of tibial non:::union:::.  Methods: Twenty-nine patients with non:::union::: after initial therapy for tibial fracture  were retrospectively assessed...

BACKGROUND Four-corner fusion is an effective procedure to treat advanced degenerative osteoarthritis of scaphoid nonunion advanced collapse or scapho-lunate advanced collapse wrists. However, lunocapitate fusion, an alternative procedure, shows benefits including less dissection of the soft tissue and also a shorter operation time. We reviewed 10 cases to reveal the complication rates and clin...

abstract  background: reamed interlocking intramedullary nailing of the tibia is a procedure  for the treatment of a non-infected tibial non::::union::::. the purpose of this clinical  study was to evaluate the outcome of this method as a treatment of tibial non::::union::::.  methods: twenty-nine patients with non::::union:::: after initial therapy for tibial fracture  were retrospectively ass...

Aims, Objectives and Background Scaphoid fractures require early identification to avoid complications such as painful non-union, avascular necrosis, chronic wrist pain. Unfortunately, plain radiographs are insufficiently sensitive so patients may immobilisation further imaging (e.g. MRI) despite normal initial radiographs. The aim of this systematic review was determine which clinical features...

PURPOSE The present study is a review of patients with scaphoid non-unions treated with a dorsal vascularized bone graft. The study highlights a subset of patients incorrectly diagnosed as graft failures. METHODS A retrospective review of patients who received vascularized grafts for scaphoid nonunions was performed over a four-year period. The vascularized graft of choice for this group was ...