A COMPARISON OF THE USE OF DISTAL RADIUS VASCULARISED BONE GRAFT AND NON-VASCULARISED ILIAC CREST BONE GRAFT IN THE TREATMENT OF NON-UNION OF SCAPHOID FRACTURES

被引：52

作者：

Braga-Silva, J. ^{[1
]}

Peruchi, F. M. ^{[1
]}

Moschen, G. M. ^{[1
]}

Gehlen, D. ^{[1
]}

Padoin, A. V. ^{[1
]}

机构：

[1] Pontif Catholic Univ Rio Grande Sul Porto Alegre, Hosp Sao Lucas, Serv Hand Surg & Reconstruct Microsurg, Porto Alegre, RS, Brazil

来源：

JOURNAL OF HAND SURGERY-EUROPEAN VOLUME | 2008年 / 33E卷 / 05期

关键词：

scaphoid bone; surgery; injuries; treatment outcome; fracture; bone;

D O I：

10.1177/1753193408090400

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：

We compared two surgical techniques for the treatment of scaphoid non-union, namely, using distal radius vascularised bone graft and iliac crest non-vascularised bone graft. Eighty patients with symptomatic scaphoid non-union underwent surgical treatment, including 35 patients treated with distal radius vascularised bone graft and 45 treated by iliac crest non-vascularised bone graft. Patients were assessed objectively by examination of wrist range of motion, grip strength and radiographic findings in the postoperative period after a mean time of 2.8 (1.4) (range 1-5.2) years. Similar functional results were obtained with the two techniques. All cases of non-union in the non-vascularised group obtained consolidation in a mean time of 8.89 (2.26) months and in the vascularised group in a mean time of 7.97 (3.06) months. Three cases of consolidation failure occurred in the vascularised group and were related to technical difficulties.

引用

页码：636 / 640

页数：5

共 33 条

[1]

Thumb metacarpal vascularized bone graft in long-standing scaphoid nonunion - A useful graft via dorsal or palmar approach: A cohort study of 24 patients [J].