Treatment of Scaphoid Nonunion with Matti-Russe technique |
Moon Sang Chung,Goo Hyun Baek,Se II Suk,Sang Cheol Seong,Choon Ki Lee,Chin Youb Chung,Myung Chul Lee,In Hyeok Rhyon |
Matti-Russe 술식을 이용한 주상골 불유합의 치료 |
정문상,백구현,석세일,성상철,이춘기,정진엽,이명철,류인혁 |
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Abstract |
Although asymptomatic initially, most nonunion of scaphoid progress to produce a painful wrist with impaired function, clinically significant loss of motion, incresed weakness, and degenerative arthritis as with time. There are many treatment modalities for scaphoid nonunion such as osteosynthesis with bone graft and/or internal fixation, arthroplasty, or arthrodesis. We retrospectively reviewed 30 cases of scaphoid nonunion treated by Matti-Russe technique, from May 1987 to May 1996. We tried to restore periscaphoid radioscaphoid, scapholunate and scaphocapitate articular surfaces, when shaping the bone graft. The graft was fixed by minimum two K-wires. The duration of follow-up was more than 1 year. There was primary union in 28 cases (93%) out of 30. In 11 cases, the AVN of proximal fragment was found by MRI and/or bone scan, and bony union was achieved in all of these cases. Twenty seven patients were free of pain both at rest and during exercise. |
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