Compression screw fixation without bone grafting for scaphoid fibrous nonunion

Hand : Official Journal of the American Association for Hand Surgery
Jeremy S SomersonDavid P Green

Abstract

Bone graft is often recommended as an adjuvant for treatment of scaphoid nonunions. However, recent literature has suggested that fibrous nonunion may be suited to treatment with rigid fixation without bone grafting. This work reported on outcomes of compression screw fixation for established scaphoid fibrous nonunions without bone graft. Fourteen patients underwent surgical compression screw fixation without bone grafting of scaphoid fibrous nonunion between January 1, 2000, and December 31, 2012, with minimum follow-up until the time of clinical and radiographic healing. Fibrous nonunion of the scaphoid was defined as a scaphoid fracture with all of the following features: (1) persistent tenderness, (2) incomplete trabecular bridging on three X-ray views, (3) injury that had occurred at a minimum of 6 months prior to surgery, and (4) identification of fibrous union at the time of surgery. Outcomes were assessed with range of motion assessment, Disability of the Arm, Shoulder and Hand (DASH) scores, and plain radiographs. Twelve of the 14 patients healed successfully, while two patients required secondary vascularized bone grafting. Both unhealed patients sustained proximal pole fractures and had a duration of ≥1 year from inj...Continue Reading

References

Dec 1, 1992·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·G Lindström, A Nyström
Jul 1, 1987·The Journal of Hand Surgery·M I VenderD M Black
May 1, 1986·The Journal of Hand Surgery·M Q Cosio, R A Camp
Jan 1, 1996·Archives of Orthopaedic and Trauma Surgery·G Inoue, M Sakuma
Aug 1, 1996·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·N J Barton
Nov 20, 1998·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J Shah, W A Jones
Dec 4, 2003·The Journal of Bone and Joint Surgery. American Volume·Joseph F SladeGreg A Merrell
Apr 20, 2011·Plastic and Reconstructive Surgery·Michel Saint-CyrAmit Gupta
Jun 28, 2011·The Journal of Bone and Joint Surgery. British Volume·M Mahmoud, W Koptan
Nov 10, 2011·Journal of Orthopaedic Surgery and Research·Marko BumbaširevićHenry D Atkinson
May 1, 2012·The Journal of Hand Surgery·Geert A BuijzeDavid Ring

❮ Previous
Next ❯

Citations

Oct 22, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Marko BumbaširevićAleksandar Lešić
Jan 6, 2018·BMJ Case Reports·Kai Yuen WongPhillip Johnston
Nov 20, 2019·The Orthopedic Clinics of North America·Cristian S BorgesMilton B Pignataro
Mar 16, 2021·Journal of Clinical Orthopaedics and Trauma·Kaoru TadaHiroyuki Tsuchiya

❮ Previous
Next ❯

Methods Mentioned

BETA
X-ray

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Hand Surgery
Colin W McInnes, Jennifer L Giuffre
The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
C UerpairojkitK Witoonchart
Journal of Surgical Orthopaedic Advances
Michail BeltsiosPanayiotis J Papagelopoulos
© 2021 Meta ULC. All rights reserved