Scaphoid Nonunion Treated with the Matti-Russe Technique

Stark, André; Broström, Lars‐Åke; Svartengren, G.

doi:10.1097/00003086-198701000-00026

Cited by 56 publications

(28 citation statements)

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“…Cancellous inlay bone grafting [12,34], wedge bone grafting [7,8,27], and vascularized bone grafting [15-17, 29, 35] have been used to achieve these goals according to the associated carpal collapse deformity and the vascularity of proximal fragment. Union rates were reported ranging from 80% to 95% after nonvascularized bone grafting and from 40% to 100% after vascularized bone grafting [7, 12, 15-17, 27, 34, 35].…”

Section: Introductionmentioning

confidence: 99%

“…All these processes could be done under arthroscopic guidance in patients with minimally displaced scaphoid nonunions with minimal sclerosis [3,31,32]. Arthroscopic bone graft and management of scaphoid nonunion have the same indications as the cancellous inlay bone graft [12,34], which include symptomatic scaphoid nonunions with significant bone resorption (C 2 mm) and cystic changes without necrosis of the proximal fragment, severe deformities, or arthritis. One of the advantages of arthroscopic management over conventional techniques is that it can confirm the presence or absence of associated intrinsic and extrinsic ligamentous injuries.…”

Section: Introductionmentioning

confidence: 99%

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Is Arthroscopic Bone Graft and Fixation for Scaphoid Nonunions Effective?

Kang

Chun

Koh

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Arthroscopic management of scaphoid nonunions has been advanced as a less invasive technique that allows evaluation of associated intrinsic and extrinsic ligamentous injuries; however, few studies have documented the effectiveness of arthroscopic treatment of scaphoid nonunions and which intraarticular pathologies coexist with scaphoid nonunions. Questions/purposes (1) What are the outcomes of arthroscopic management of scaphoid nonunions as assessed by the proportion of patients achieving osseous union, visual analog scale (VAS) pain score, grip strength, range of motion, Mayo Wrist Score (MWS), and Disabilities of the Arm, Shoulder and Hand (DASH) score? (2) What complications are associated with arthroscopic scaphoid nonunion management? (3) What forms of intraarticular pathology are associated with scaphoid nonunions? Methods Between 2008 and 2012, we treated 80 patients surgically for scaphoid nonunions. Of those, 45 (56%) had arthroscopic management. During that time, our general indications for using an arthroscopic approach over an open approach were symptomatic scaphoid nonunions without necrosis of the proximal fragment, severe deformities, or arthritis. Of the patients treated arthroscopically, 33 (73%) were available for followup at least 2 years later. There were five distal third, 19 middle third, and nine proximal third fractures. The mean followup was 33 months (range, 24-60 months). Union was determined by CT taken at 8 to 10 weeks after operation with bridging trabecula at nonunion site. VAS pain scores, grip strength, active flexion-extension angle, MWS, and DASH scores were obtained preoperatively and at each followup visit. The coexisting intraarticular pathologies and complications were also recorded. Results Thirty-two (97%) scaphoid nonunions healed successfully. At the last followup, the mean VAS pain score decreased (preoperative: mean 4.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Is Arthroscopic Bone Graft and Fixation for Scaphoid Nonunions Effective?

Kang

Chun

Koh

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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“…Bone union was achieved in 80-90% of patients, excluding those with a fracture in proximal pole, which were associated with blood flow impairment. In those cases, the percentage of bone union did not exceed 50% (11,12,18). From the 1990s on, the use of vascularised bone grafts significantly improved outcomes, particularly in cases of avascular necrosis of the proximal pole.…”

Section: Discussionmentioning

confidence: 99%

“…From 2005 to 2006, 11 patients, 9 males and 2 females, of an average age of 29 years (range 19-45) with scaphoid nonunion lasting a mean of 10 months (range [8][9][10][11][12][13][14][15][16][17][18][19][20] were operated on in the Department of General and Hand Surgery, Pomeranian Medical University. The most common mechanism of injury was a fall on a hand in nine cases.…”

Section: Methodsmentioning

confidence: 99%

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Results of Scaphoid Nonunion Treatment with Vascularised Bone Grafting from the Distal Radius

Żyluk¹,

Walaszek²

2008

Polish Journal of Surgery

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Misdiagnosis or failed treatment of scaphoid fractures are frequently (25-45%) followed by disrupted healing and nonunion. This may reduce the wrist's capacity for occupational and daily use and, over time, lead to wrist arthrosis. Therefore, surgery is recommended even in asymptomatic nonunions of the scaphoid; the goal of this treatment is to achieve bone union and stability of the wrist. The aim of the study was to evaluate the results of operative management of scaphoid nonunion by vascularized bone grafting from the distal radius. Material and methods. Eleven patients, nine men and two women of a mean age of 29 (range 19-45 years) with scaphoid nonunion lasting a mean of 10 months (range 8-20) were recruited. The nonunion was localized in the waist of the scaphoid in seven patients and in proximal 1/3 in four patients. Operations were performed using cancellous bone grafts taken from the distal radius and supplied by the intercompartmental branch of the radial artery. Fracture fixation was accomplished with K-wires or headless canullated screws. The follow-up assessment at a mean of 10 months included measurements of wrist range of motion, grip strength and Mayo wrist score. Results. All patients achieved bone union. The mean Mayo wrist score increased from 25 points preoperatively to 75 points at the final assessment, which suggested significant improvement of the hand functions. In a qualitative evaluation, two patients had an excellent result, four had a good result, four had a fair result and one had a poor result. Surgery resulted in significant pain relief and increase in hand strength, but failed to improve wrist range of motion. The modest clinical outcomes do not allow a definitive conclusion to be reached, but the fact that bone union was achieved in all patients with no complications justifies continued use of this technique for the management of scaphoid nonunion.

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Die Denervierung des Handgelenkes nach fehlgeschlagener Behandlung der Kahnbeinpseudarthrose

Reill

1992

Fortschritte in Der Unfallchirurgie

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Scaphoid Nonunion Treated with the Matti-Russe Technique

Cited by 56 publications

References 0 publications

Is Arthroscopic Bone Graft and Fixation for Scaphoid Nonunions Effective?

Is Arthroscopic Bone Graft and Fixation for Scaphoid Nonunions Effective?

Results of Scaphoid Nonunion Treatment with Vascularised Bone Grafting from the Distal Radius

Die Denervierung des Handgelenkes nach fehlgeschlagener Behandlung der Kahnbeinpseudarthrose

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