A hospital based assessment of the functional outcome of scaphoid nonunion treated with herbert screw and bone grafting
Keywords:
Scaphoid, Herbert screw, Splint age, fixationAbstract
Aim: The aim of this study to evaluate the functional outcome of scaphoid nonunion treated with bone grafting and Herbert screw fixation. Methodology: This study was done Department of Orthopaedics, Indira Gandhi institute of medical sciences, Patna, Bihar, India for 3 year, 18 cases were referrals from peripheral centers with a possible diagnosis of scaphoid nonunion after failed conservative treatment. The injuries were classified according to Herbert’s Classification. Clinical examination included the assessment of tenderness, active and passive range of movement in wrist, and grip strengths were also measured. AP, Lateral and oblique view radiographs of wrist were taken preoperatively, the same technique also being used at follow-up examinations. MRI was taken for assessing the fracture morphology and classification of the fracture properly. The diagnosis of radiological union required clear evidence of bony trabeculaetransversing the graft from proximal to the distal pole in standard scaphoid views. Patients were asked to attend for routine review at 3 weeks, 6 weeks, 9 weeks and 3 months and any additional visits being scheduled as required. Standard wrist radiographs were taken at each visit and a detailed clinical assessment was recorded.
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Chang M, Bishop A, Moran S. The outcomes and complications of 1,2-intercompartmental supraretinacular artery pedicled vascularized bone grafting of scaphoid nonunions. J Hand Surg [Am]. 2006;31:387–396
Bervian MR, Ribak S, Livani B. Scaphoid fracture nonunion: correlation of radiographic imaging, proximal fragment histologic viability evaluation, and estimation of viability at surgery. IntOrthop. 2015;39:67–72
Bindra R, Bednar M, Light T. Volar wedge grafting for scaphoid nonunion with collapse. J Hand Surg [Am]. 2008;33:974–979
Kilici A, Sokucu S, Parmaksiz AS, Gul M, Kabukcu YS. Comparative evaluation of radiographic and functional outcomesin the surgical treatment of scaphoid non-unions. ActaOrthopTraumatolTurc. 2011;45(6):399–405
Little CP, Burston BJ, Hopkinson-Woolley J, Burge P. Failure of surgery for scaphoid non-union is associated with smoking. J Hand Surg (Br). 2006;31:252–255
Waitayawinyu T, Pfaeffle HJ, McCallister WV, Nemechek NM, Trumble TE Management of scaphoid nonunions. OrthopClin N Am. 2007;38:237–249
Brown CMC, Heckman JD. Rockwood and Green Fractures in Adults. vol. 1. 8th ed. Philadelphia: Wolters Kluwer; 2015.
Filan SL, Herbert TJ. Herbert screw fixation of scaphoid fractures. J Bone Joint Surg. 1996;78-B(4):519–29.
Herbert TJ, Fisher WE. Management of the fractured scaphoid using a new bone screw. J Bone Joint Surg. 1984;66:114–23.
Warren-Smith CD, Barton NJ. Non-union of the scaphoid: Rüsse graft vs. Herbert screws. J Hand Surg (Br). 1988;13(1):83–86
Zakzouk SA, Khanfour AA. Scaphoid nonunion volar pedicle vascularized graft versus volar peg graft. Egypt Orthop J. 2014;49: 53–60
Chang MA, Bishop AT, Moran SL, Shin AY. The outcomes and complications of 1,2 intercompartmentalsupraretinacular artery pedicled vascularized bone grafting of scaphoid nonunions. J Hand Surg. 2006; 31A:387–396
Huang Y-C, Liu Y, Chen T-H. Long-term results of scaphoid nonunion treated by intercalated bone grafting and Herbert’s screw fixation—a study of 49 patients for at least five years. IntOrthop.2009;33:1295–1300
Kawamura K, Chung KC. Treatment of scaphoid fractures and nonunions. J Hand Surg [Am]. 2008;33:988–997
Buijze G, Ochtman L, Ring D. Management of scaphoid nonunion. J Hand Surg [Am].2012;37(5):1095–1100
Cooney WP, Dobyns JH, Linschield RL. Fractures of the scaphoid: a rational approach to management”. ClinOrthop. 1980;149:90–7.
Dooley BJ. Inlay bone grafting for non-union of the scaphoid bone by anterior approach. J Bone Joint. 1968;50-B(1):102–9.
Trojan E. Grafting of Ununited Fractures of the Scaphoid. Proc R Soc Med. 1974;67(10):1078–80.
Dias JJ, Brenkel IJ, Finlay DB. Patterns of union in fractures of the waist of the scaphoid. J Bone Joint Surg. 1989;71-B(2):307–10.
Mittal VK. Conservative management of fracture scaphoid. Indian J Orthop. 2006;40:255–8.
Merrell GA, Wolfe SW, Slade JF. Treatment of scaphoid nonunions: Quantitative metaanalysis of the literature. J Hand Surg. 2002;27(4):685–91.
Huang YC, Liu Y, Chen TH. Long-term results of scaphoid nonunion treated by intercalated bone grafting and Herbert’s screw fixation—a study of 49 patients for at least five years. IntOrthop. 2009;33(5):1295–1300
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