[Results of surgical treatment of carpal scaphoid pseudarthrosis using the Fisk-Fernández technique]. / Resultados del tratamiento quirúrgico de la seudoartrosis de escafoides carpiano con la técnica de Fisk-Fernández.
Rev Esp Cir Ortop Traumatol
; 58(4): 229-36, 2014.
Article
en Es
| MEDLINE
| ID: mdl-24647038
ABSTRACT
AIM:
The aim of the study was to evaluate the clinical and radiological results obtained in the treatment of carpal scaphoid non-union treated at the University Hospital of Valladolid using the Fisk Fernandez technique. MATERIAL ANDMETHODS:
A review was performed on 43 cases of surgically treated non-union using Fisk Fernandez technique with a minimum of 6 months follow-up. The time until surgery, previous treatment, the mechanism of injury, type of non-union, and the existence of radio-carpal arthrosis were evaluated. A subjective evaluation was performed using the "Scaphoid Score" and the DASH, plus an objective assessment with the modified Green & O'Brien, together with the measurement of the intra-scaphoid, radioulnar, scapholunate angles, and carpal height.RESULTS:
The median time to healing in the series was between 16 to 24 weeks, except in 3 patients who failed to heal and required salvage surgery. There was a statistically significant variation between the preoperative and postoperative angles and carpal height measured in the X-rays.DISCUSSION:
There are different osteosynthesis techniques and materials for the treatment of non-union. The evaluation of results performed using objective and subjective scales showed variable results between studies. Different techniques are aimed at preventing the progression of the disease.CONCLUSION:
The Fisk Fernandez technique enables the deformity of the scaphoid to be corrected by wedge grafting and internal fixation with Kirschner wires or screws.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Seudoartrosis
/
Hueso Escafoides
/
Fijación Interna de Fracturas
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Adolescent
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Adult
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Aged
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Humans
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Male
/
Middle aged
Idioma:
Es
Revista:
Rev Esp Cir Ortop Traumatol
Año:
2014
Tipo del documento:
Article