Dorsal percutaneous screw fixation of delayed or nonunion of scaphoid fractures

被引：10

作者：

Altay, Taskin ^{[1
]}

Gunal, Izge ^{[2
]}

Kayali, Cemil ^{[1
]}

Sener, Muhittin ^{[3
]}

机构：

[1] Bozyaka Egitim Arastirma Hastanesi, Dept Orthopaed, TR-35210 Izmir, Turkey

[2] Dokuz Eylul Univ Hosp, Dept Orthopaed, TR-35340 Izmir, Turkey

[3] Katip Celebi Univ Hosp, Dept Orthopaed, TR-35360 Izmir, Turkey

来源：

INTERNATIONAL ORTHOPAEDICS | 2014年 / 38卷 / 05期

关键词：

Scaphoid; Delayed union; Nonunion; Percutaneous fixation; WRIST;

D O I：

10.1007/s00264-014-2282-5

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：

Purpose The purpose of the present study is to evaluate scaphoid delayed fractures or nonunions treated by percutaneous fixation with MRI correlations. Methods We evaluated 33 consecutive scaphoid delayed unions or nonunions treated by dorsal percutaneous fixation at a mean 16 months (range, seven to 48 months) after the operation. There were 31 male and two female patients with an average age of 29 years (range, 25-33 years). Results Pre-operative MRI revealed no signs of avascular necrosis. At the latest follow-up, all patients had good or excellent results. Conclusion We suggest dorsal percutaneous screw fixation for scaphoid delayed fractures or nonunions after eliminating the presence of AVN by pre-operative MRI examination.

引用

页码：1007 / 1010

页数：4

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