Silicone replacement for non-union of the scaphoid: 7 cases followed for 9 (5–18) years

Ashcroft, GP; D'Netto, Douglas C; Alsindi, Z.

doi:10.3109/17453679308993671

Cited by 4 publications

(4 citation statements)

References 11 publications

(8 reference statements)

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“…Despite a number of alarming and distressing radiological reports, patients seem to be well satis ed after scaphoid implant arthroplasty. Figures of about 80% satis ed have been reported (1,2,5,6). Even after a long time most patients with remaining implants report high subjective ratings both with respect to pain and function.…”

Section: Discussionmentioning

confidence: 94%

Patient-rating of long term results of silicone implant arthroplasty of the scaphoid

Vinnars

Adamsson

Ekenstam

et al. 2002

Scandinavian Journal of Plastic and Reconstructive Surgery and

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Thirty-two patients had silicone implant arthroplasty of the scaphoid in our unit between 1974-1988. Ten years later eight had had their implants removed because they had failed. Twenty-four of the 32 were reviewed at an intermediate clinical follow up examination between 1988-89 and 21 by patient rated wrist evaluation 10 years later. Grip strength compared to the non-injured hand varied between 38% and 136% (mean (SD) 78 (25)%). Nine of the 24 wrists showed no signs of bone cysts, while 15 had intraosseous cysts of various sizes. Patient-rated evaluation gave a median subjective long term overall wrist score of 25, a pain score of 27, and a function score of 22 on a scale from 0 (best) to 100 (worst). Nine out of 21 patients had little or no pain, and 13 out of 21 had total scores of under 25. Many of these patients reported good subjective benefit from silicone scaphoid arthroplasty.

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Section: Discussionmentioning

confidence: 94%

Patient-rating of long term results of silicone implant arthroplasty of the scaphoid

Vinnars

Adamsson

Ekenstam

et al. 2002

Scandinavian Journal of Plastic and Reconstructive Surgery and

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“…The results have also been evaluated by the DASH (applied to 60 patients) and PRWE (30 patients; introduced in our center in 2005; [2,9]) questionnaires at 3, 6, and 12 months. The results are shown in Table 2.…”

Section: Resultsmentioning

confidence: 99%

The Total Scaphoid Titanium Arthroplasty: A 15-Year Experience

Spingardi

Rossello

2011

Hand (New York, N,Y.)

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Scaphoid nonunion followed by necrosis of bone segments is a common pathologic condition for the hand surgeon, and the difficulty of its management is well known. The total titanium scaphoid replacement, although not well-described in the literature, in our experience represents a reasonable choice in the treatment of this condition. Strict patient selection is necessary to achieve good clinical results. The titanium avoids the silicone synovitis, a well-described complication of silastic implants. Furthermore, this technique permits other surgical steps in case of failure.

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“…Excision of the small fragment, as recommended by some (3,6,96), potentially leads to scapholunate instability because the ligament has no radial attachment. It appears to be better to bridge the nonunion site by performing a fusion between the distal well-vascularized scaphoid and the lunate, incorporating the proximal pole of the scaphoid.…”

Section: Proximal Pole Scaphoid Nonunionmentioning

confidence: 99%

Bone-Grafting Techniques for Scaphoid Nonunion

Cooney

1997

Techniques in Hand & Upper Extremity Surgery

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Silicone replacement for non-union of the scaphoid: 7 cases followed for 9 (5–18) years

Cited by 4 publications

References 11 publications

Patient-rating of long term results of silicone implant arthroplasty of the scaphoid

Patient-rating of long term results of silicone implant arthroplasty of the scaphoid

The Total Scaphoid Titanium Arthroplasty: A 15-Year Experience

Bone-Grafting Techniques for Scaphoid Nonunion

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