Scaphoid Nonunions Treated with 1, 2-Intercompartment Supraretinacular Artery Pedicled Vascularized Bone Graft and Headless Compression Screw Fixation
Journal of the Korean Society for Surgery of the Hand
; : 173-179, 2014.
Article
в Ko
| WPRIM
| ID: wpr-111528
Ответственная библиотека:
WPRO
ABSTRACT
PURPOSE:
The purpose of this study was to evaluate the clinical results of scaphoid nonunions treated with 1, 2-intercompartment supraretinacular artery (ICSRA) pedicled vascularized bone grafting (VBG) and headless compression screw fixation.METHODS:
Since August 1, 2005, 11 scaphoid nonunions with avascular necrosis or bone marrow edema of proximal fragments were managed with 1, 2-ICSRA pedicled VBG combined with headless compression screw fixation. The mean age was 37.1 years (range, 21-66 years). 8 patients had avascular necrosis (AVN) of proximal fragments and 3 patients had bone marrow edema in proximal fragments. Serial radiographic evaluations were performed in every 4-8 weeks for bone union and follow up computed tomography scanning were checked in 8 patients.RESULTS:
Bone unions were obtained in all 11 patients at 4.9 months (range, 3-9 months) after operation. At last follow up, the average range of motion was 82.5% and the grip power was 84.1% compared to the contralateral side. The mean New York Orthopaedic Hospital wrist score at last follow up was 83.2 (range, 58.1-93.3).CONCLUSION:
Combined 1, 2-ICSRA pedicled VBG and headless compression screw fixation were reliable methods for managements of scaphoid nonunions even with AVN at proximal fragments.Key words
Полный текст:
1
База данных:
WPRIM
Основная тема:
Arteries
/
Wrist
/
Bone Marrow
/
Follow-Up Studies
/
Range of Motion, Articular
/
Bone Transplantation
/
Hand Strength
/
Transplants
/
Edema
/
Necrosis
Тип исследования:
Observational_studies
/
Prognostic_studies
Пределы темы:
Humans
Язык:
Ko
Журнал:
Journal of the Korean Society for Surgery of the Hand
Год:
2014
Тип:
Article