Treatment of scaphoid nonunion with olecranon bone graft and compression screw
Acta ortop. bras
;
24(3): 159-163, May-June 2016. tab, Ilus
Artigo
em Inglês
| 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
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Osteoartrite
/
Articulação do Punho
/
Ossos do Carpo
/
Transplante Ósseo
/
Osso Escafoide
/
Olécrano
Limite:
Humanos
Idioma:
Inglês
Revista:
Acta ortop. bras
Assunto da revista:
Ortopedia
Ano de publicação:
2016
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Hospital Lifecenter/BR
Similares
MEDLINE
...
LILACS
LIS