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Treatment of scaphoid nonunion with olecranon bone graft and compression screw
Neder Filho, Antonio Tufi; Franceschini, Eduardo Traldi; Pardini Júnior, Arlindo Gomes; Riberto, Marcelo; Mazzer, Nilton.
  • Neder Filho, Antonio Tufi; Hospital Lifecenter. Belo Horizonte. BR
  • Franceschini, Eduardo Traldi; Hospital Lifecenter. Belo Horizonte. BR
  • Pardini Júnior, Arlindo Gomes; Hospital Lifecenter. Belo Horizonte. BR
  • Riberto, Marcelo; Hospital Lifecenter. Belo Horizonte. BR
  • Mazzer, Nilton; Hospital Lifecenter. Belo Horizonte. BR
Acta ortop. bras ; 24(3): 159-163, May-June 2016. tab, Ilus
Article in English | LILACS | ID: lil-782000
ABSTRACT

OBJECTIVE:

To evaluate the outcome of olecranon bone graft and compression screw for the treatment of nonunion of the Lichtman type I scaphoid.

METHOD:

We evaluated 15 patients of 32 who underwent surgical treatment for nonunion of the Lichtman type I scaphoid with olecranon bone graft and screw compression.

RESULTS:

We obtained 100% consolidation in our sample. The mean flexion of the wrist on the affected side was 68° and 75° on the non-affected side. The average extension was 63° and 72°, respectively. The average grip strength was 35 kgf. This corresponds to 98% of the handgrip strength of the non-affected side, which was 37 kgf. The DASH score averaged 5 points.

CONCLUSION:

We believe that the use of bone graft obtained from the olecranon and secured with cannulated screw is a resolute technique for cases of linear nonunion of the Lichtmann type I scaphoid. It has the advantages of a new anesthesia for removal of the graft and the access is easy, providing a good exposure for removal and good aesthetic results. Level of evidence IV. Case series
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Osteoarthritis / Wrist Joint / Carpal Bones / Bone Transplantation / Scaphoid Bone / Olecranon Process Limits: Humans Language: English Journal: Acta ortop. bras Journal subject: Orthopedics Year: 2016 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Lifecenter/BR

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Full text: Available Index: LILACS (Americas) Main subject: Osteoarthritis / Wrist Joint / Carpal Bones / Bone Transplantation / Scaphoid Bone / Olecranon Process Limits: Humans Language: English Journal: Acta ortop. bras Journal subject: Orthopedics Year: 2016 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Lifecenter/BR