Scaphoid nonunion in the presence of a degenerate carpus: don’t rush to salvage surgery

We retrospectively studied 13 patients with degenerative change associated with a scaphoid nonunion treated by internal fixation and bone graft. All patients had radiological signs of radioscaphoid degenerative change (scaphoid nonunion advanced collapse – scaphoid nonunion advanced collapse - grade...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of hand surgery, European volume European volume, 2012-01, Vol.37 (1), p.56-60
Main Authors: Kent, M. E., Rehmatullah, N. N. T., Young, L., Chojnowski, A. J.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Bone Transplantation - methods
Disability Evaluation
Diseases of the osteoarticular system
Female
Fracture Fixation, Internal - methods
Fractures, Bone - surgery
Fractures, Ununited - diagnostic imaging
Fractures, Ununited - surgery
Humans
Ilium - transplantation
Injuries of the limb. Injuries of the spine
Male
Medical sciences
Radiography
Retrospective Studies
Salvage Therapy
Scaphoid Bone - diagnostic imaging
Scaphoid Bone - injuries
Traumas. Diseases due to physical agents
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We retrospectively studied 13 patients with degenerative change associated with a scaphoid nonunion treated by internal fixation and bone graft. All patients had radiological signs of radioscaphoid degenerative change (scaphoid nonunion advanced collapse – scaphoid nonunion advanced collapse - grade II or more) and had surgery more than 2 years after injury. Ten of the 13 patients achieved union at 6 months with all but one of these demonstrating improvement on the Disability of Arm, Shoulder and Hand (DASH) score. Surgeons presented with this difficult patient group might consider reconstruction before salvage procedures.
ISSN:1753-1934
2043-6289
DOI:10.1177/1753193411413663