Contribution of Matti-Russe Technique in the Management of Carpal Scaphoid Pseudarthrosis

Abstract

The scaphoïd pseudarthrosis is the most common complication of fractures of the carpal bones. This is a retrospective study of 16 observations of non-union of the carpal scaphoid, collected at the Department of Traumatology and Orthopedics of Rabat, over a period of 4 years from 2018 to 2022.The average age is 29,8 years, with a male predominance (94%). Initially, it was an orthopedic treatment in 4 cases and the fracture was unknown in 12 cases. In our serie according to Schernberg classification : 1 case was stage I (6%). 8 cases were Stage II (50%). 4 cases were Stage III (25%). 3 cases were stage IV (17 %). According to the classification of Alnot : 3 cases were stage I (19%), 4 cases were stage IIA (25%), 2 cases were stage IIB (12 %), 5 cases were stage III (31%), two cases were stage IV (13%). The consolidation was achieved in 91%. The purpose of this study is to describe the epidemiological and clinical radio carpal scaphoid non-unions and show the interest of MATTI-RUSSE technique. The clinical and radiological results are reported and analyzed according to the literature.