ANTERIOR BONE-GRAFTING AND CONVENTIONAL LAG SCREW FIXATION TO TREAT SCAPHOID NONUNIONS

被引：86

作者：

FERNANDEZ, DL

机构：

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1990年 / 15A卷 / 01期

关键词：

D O I：

10.1016/S0363-5023(09)91122-4

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The results of 20 established nonunions of the scaphoid treated with resection of the pseudoarthrosis, anterior cortico-cancellous iliac bone grafting, and conventional lag screw fixation with the ASIF 2.7 mm cortical screw are presented. Union rate was 95% and the average time off work was 8.9 weeks. Review of the relevant literature uniformly shoves that the most common reasons for failure are improper internal fixation techniques and/or the absence of bone grafting. Successful treatment of scaphoid nonunions with screw fixation and cast-free after-treatment does not depend on the implant used but rather on careful case selection and precise surgical technique. © 1990, American Society for Surgery of the Hand. All rights reserved.

引用

页码：140 / 147

页数：8

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