Fracture of the Carpal Navicular

Russe, O

doi:10.2106/00004623-196042050-00002

Cited by 553 publications

(25 citation statements)

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“…Various modifications of Russe's technique have been devised by surgeons, but the results in achieving union have been consistent. In 1960, Russe [16] described his technique for anterior bone grafting. The excavated eggshaped cavity is packed with a plug of cancellous bone, which is placed in the center of the cavity, and multiple chips from the iliac crest.…”

Section: Discussionmentioning

confidence: 99%

“…Russe [16] immobilized the wrist for 12 to 16 weeks after surgery. Reported periods of immobilization varied from 12 weeks to 6 months [8,13,17].…”

Section: Discussionmentioning

confidence: 99%

“…Bone grafting is the mechanism by which this can be accomplished. The technique best suited to apply the bone graft is controversial, although cancellous bone grafting, first described by Matti [12] and modified by Russe [16], is the most common one. Cooney et al [2] classified nonunions into two types: stable undisplaced and unstable displaced, and noted that Russe's technique is the treatment of choice for stable nonunions, but that it is an unpredictable method for correcting malalignment of the scaphoid.…”

Section: Introductionmentioning

confidence: 99%

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Scaphoid nonunion treated by open reduction, anterior inlay bone grafting, and Kirschner-wire fixation

Takami

Takahashi

Andô

2000

Arch Orth Traum Surg

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Forty-three patients with ununited fractures of the scaphoid were treated by open reduction, anterior inlay bone grafting and Kirschner wire fixation. All but one achieved bone union. The one failure was successfully treated with a second anterior inlay bone grafting procedure. The average period of cast immobilization was 7 weeks. The presence of an unstable nonunion did not adversely affect the results. In cases with carpal instability, we used a longer corticocancellous graft to restore a more normal alignment of the scaphoid by opening up the volar cortex. Preoperatively, carpal instability was present in 25 patients. In these cases, carpal alignment demonstrated by the radiolunate and scapholunate angle was improved significantly after surgery: the radiolunate angle from 15 degrees before surgery to 2 degrees after surgery, and the scapholunate angle from 67 degrees to 54 degrees, respectively. Pain, restricted motion of the wrist, and the grip strength were improved after surgery.

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Section: Discussionmentioning

confidence: 99%

“…Russe [16] immobilized the wrist for 12 to 16 weeks after surgery. Reported periods of immobilization varied from 12 weeks to 6 months [8,13,17].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Scaphoid nonunion treated by open reduction, anterior inlay bone grafting, and Kirschner-wire fixation

Takami

Takahashi

Andô

2000

Arch Orth Traum Surg

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“…9,10) Although the procedure resulted in excellent union rates, the shortcomings reported in earlier studies included a long period of postoperative immobilisation, 11,12) failure to adequately correct alignment and collapse, 11) and a high incidence of late degenerative changes. 7,8) Procedures described by Fisk and Fernandez, often referred to as interpositional grafting techniques, were designed to achieve better correction of alignment.…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Outcome in the Management of Scaphoid Non-union and Comparison of Matti Russe and Interpositional Grafting Techniques

Kiran

Persaud

Jariwala

et al. 2017

J Hand Surg Asian-Pac Vol

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Background: Scaphoid non-union is often caused due to missed fractures, inadequate or inappropriate management. Matti-Russe and interpositional grafting techniques are used in the treatment of non-union. There are very few studies in literature that compare the outcomes of these techniques. The aim of our study was to analyse the factors influencing outcome in the management of scaphoid non-union and to compare the results of the Matti Russe procedure with interpositional grafting techniques. Methods: Fifty scaphoid non-unions with a mean follow-up of 39.9 ± 5.5 months were included in this retrospective study. Demographic parameters, treatment, functional and radiological outcomes were recorded. The influence of demographic and treatment factors on union in this cohort was statistically analysed. Results: Union was achieved in 76% of cases. Good to excellent results were achieved in 84% of patients. There was no significant difference in union rates, deformity correction achieved and period of immobilisation between the MR and IG techniques. The occurrence of arthritic changes correlated with the time interval between injury and surgery (p = 0.002). Conclusions: The most important factor that influences the outcome is the time period between the occurrence of the fracture and surgery for non-union. The Matti-Russe procedure can achieve comparable results to interpositional grafting techniques with a shorter period of immobilisation than previously thought to be required. We believe that the presence of a deformity is not a contraindication for the procedure.

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“…They may be treated by electric or electromagnetic stimulation [6] , bone grafting [7] , internal fixation [8] , vascularized bone grafting [9,10] , and combined methods [11] . Fracture healing failure rate with non-union persistence is also high, with prolonged immobilization [7] , prevent patients to perform their professional work, not only during rehabilitation period, but also during postoperative rehabilitation, leads to serious socioeconomic problem [2] . Degenerative changes occur if scaphoid fracture non-union is left untreated.…”

Section: Introductionmentioning

confidence: 99%

Scaphoid Fractures Treated With Kirschner (K) Wires or Herbert Screw Fixation Has No Difference in Fracture Healing Period

Kumar¹

2016

jmscr

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Fracture of the Carpal Navicular

Abstract: A male, aged 19x0-, received a blow on the back of the right wrist from the rebound of a starting-handle. On radioscopy a fissured fracture was recognized with difficulty about the middle of the carpal navicular bone. Later the fracture became more evident from localized

Cited by 553 publications

References 0 publications

Scaphoid nonunion treated by open reduction, anterior inlay bone grafting, and Kirschner-wire fixation

Scaphoid nonunion treated by open reduction, anterior inlay bone grafting, and Kirschner-wire fixation

Factors Influencing Outcome in the Management of Scaphoid Non-union and Comparison of Matti Russe and Interpositional Grafting Techniques

Scaphoid Fractures Treated With Kirschner (K) Wires or Herbert Screw Fixation Has No Difference in Fracture Healing Period

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