Scaphoid Non-Union: Comparison of the Results of the Matti-Russe Operation and Bone-Grafting with Compression Screw Fixation

1994 ◽  
Vol 19 (1_suppl) ◽  
pp. 27-27
Author(s):  
T. Raatikainen
Keyword(s):  
Bone Grafting ◽  
Screw Fixation ◽  
Compression Screw ◽  
Non Union ◽  
Comparison Of The Results

scholarly journals Compression Screw Fixation without Bone Grafting for Scaphoid Fibrous Nonunion

Hand ◽  
2015 ◽  
Vol 10 (3) ◽  
pp. 450-453 ◽  
Author(s):  
Jeremy S. Somerson ◽  
Daniel J. Fletcher ◽  
Ramesh C. Srinivasan ◽  
David P. Green
Keyword(s):  
Bone Grafting ◽  
Screw Fixation ◽  
Compression Screw

scholarly journals First Metatarsalphalangeal Joint Arthrodesis: A Retrospective Comparison of Two Methods of Fixation

2015 ◽  
Vol 9 (1) ◽  
pp. 480-482 ◽  
Author(s):  
M.A Rashid ◽  
M Parnell ◽  
W.S Khan ◽  
A Khan
Keyword(s):  
Locking Plate ◽  
Screw Fixation ◽  
Fixation Method ◽  
Compression Screw ◽  
Clinical Criteria ◽  
Non Union ◽  
Lag Screw ◽  
Retrospective Comparison ◽  
Significant Difference ◽  
Interfragmentary Compression

First metatarsalphalangeal joint arthrodesis is a well established and successful treatment; however there still remains controversy over the best choice of construct. We performed a retrospective study of patients undergoing first metatarsalphalangeal fusion over eighteen months (n=52) using either dorsal non-locking plate with additional compression lag screw fixation or dorsal non-locking plate alone. We found when assessing clinical criteria, patients with dorsal non-locking plates and additional compression lag screw fixation had a significantly higher rate of fusion (100% vs 77.8%), significantly higher rate of fusion within the first two months (55.6% vs 83.3%), significantly earlier time to fusion (52.2 days vs 75.6 days), and significantly lower rate of non-union (0% vs 22.2%). When blindly assessing radiographic criteria, the patients treated with the plate and compression screw had a significantly higher rate of fusion and lower rate of non-union (0% vs 33%). There was no statistically significant difference between the frequencies of complications in the groups. We believe that the interfragmentary compression is a crucial factor in achieving good union rates and recommend the use of non-locking pre-contoured plating with additional interfragmentary compression screw as the fixation method of choice for these procedures.

Failure of Surgery for Scaphoid Non-Union is Associated with Smoking

2006 ◽  
Vol 31 (3) ◽  
pp. 252-255 ◽  
Author(s):  
C. P. LITTLE ◽  
B. J. BURSTON ◽  
J. HOPKINSON-WOOLLEY ◽  
P. BURGE
Keyword(s):  
Bone Grafting ◽  
Smoking Prevalence ◽  
Screw Fixation ◽  
Delayed Union ◽  
Proximal Pole ◽  
Non Union ◽  
Scaphoid Fractures ◽  
The Uk ◽  
Vascularized Bone

Scaphoid fractures predominantly affect young men, in whom the UK smoking prevalence approaches 40%. We examined the association between smoking and failure of non-vascularized bone grafting and screw fixation for scaphoid non-union and delayed union in a retrospective cohort study. Adequate follow-up was obtained in 64 of 87 patients treated (74%). Union was defined as the presence of trabecular continuity on at least two films from a four-view radiographic series. Union was achieved in 47 of 64 cases. Seventeen were smokers. Thirteen of the 17 patients with non-union were smokers (relative risk 3.7; 95% CI: 1.3–10.1, p = 0.005). Proximal pole fractures, long injury-grafting interval and non-compliance were not more frequent in smokers than non-smokers. Smoking is strongly associated with failure of union after screw fixation and non-vascularized bone grafting of the scaphoid. Smokers should be advised to avoid smoking pre-operatively and during the healing period.

Olecranon Fracture through Persistent Olecranon Apophysis in a 21-Year-Old Male: A Case Report and Systematic Review of the Literature

2020 ◽  
Vol 25 (01) ◽  
pp. 110-113
Author(s):  
Jonathan Twu ◽  
David C. Landy ◽  
Jennifer Moriatis Wolf
Keyword(s):  
Systematic Review ◽  
Bone Grafting ◽  
Screw Fixation ◽  
Case Reports ◽  
Plate Fixation ◽  
Review Of The Literature ◽  
Non Union ◽  
Elbow Injury ◽  
Acute Fracture ◽  
Clinical Healing

Traumatic fractures involving an ununited olecranon apophysis in adults have been rarely documented in the literature. We present the case of a 21-year-old male wrestler with an elbow injury after a fall. Imaging revealed an acute fracture of the olecranon with sclerotic rounded edges indicating an injury through a persistent olecranon apophysis. Open reduction and internal fixation was performed with plate fixation and bone grafting with radiographic and clinical healing at 6 weeks. Review of the literature revealed 5 case reports showing high rates of non-union with tension band constructs while plate and screw fixation had no incidence of nonunion. Fractures through an ununited olecranon apophysis are successfully treated with plate and screw fixation with bone grafting.

Headless Compression Screw Fixation of Delayed Union Jones Fractures: A Case Series

2021 ◽  
Vol 23 (2) ◽  
pp. 121-127
Author(s):  
Ahmed Nagi ◽  
Mosab Elgalli ◽  
Islam Mubark ◽  
Bahaa A. Motawea ◽  
Charalampos Karagkevrekis
Keyword(s):  
Screw Fixation ◽  
Short Form ◽  
Case Series ◽  
Functional Results ◽  
Delayed Union ◽  
Compression Screw ◽  
Variable Pitch ◽  
Non Union ◽  
Headless Compression Screw ◽  
Case Series Study

Background. Different methods have been adopted to treat delayed union and non-union of fractures of the base of the fifth metatarsal using screws, plates and tension band wires. There has been increasing use of intramedullary screw fixation to treat these fractures with variable rates of success. The optimum screw diameter and properties have been a subject of debate. To assess the results of using a larger diameter 5.5 mm cannulated, headless variable-pitch screw to fix delayed union of Jones fracture of the base of the fifth metatarsal. Methods and methods. A case series study including 24 patients with delayed union of Jones fifth meta­tar­sal fractures. The fractures were fixed by a 5.5 mm cannulated variable-pitch compression titanium screw (Acumed® Acutrak 2® Screw System). Results. Radiological union was achieved in all patients at a mean of 7.2 weeks. At 12 months’ follow up, patients had a mean American Orthopedic Foot & Ankle Society midfoot score of 95.6. The mean Short Form 12 Physical and mental survey scores improved from 22.71 and 29.31 points preoperatively to 57.88 and 59.54 respectively. Conclusion.The headless compression screw achieved a satisfactory union rate for delayed union Lawren­ce zone II fractures of the base of the fifth metatarsal with satisfactory functional results.

Metatarsal Osteotomy Using a Double-Threaded Compression Scew: An Adjunct to Revision Forefoot Surgery

Foot & Ankle ◽  
1989 ◽  
Vol 10 (3) ◽  
pp. 129-139 ◽  
Author(s):  
G. James Sammarco ◽  
Mark W. Scioli
Keyword(s):  
Internal Fixation ◽  
Surgical Procedures ◽  
Bone Grafting ◽  
Screw Fixation ◽  
Metatarsal Osteotomy ◽  
Recurrent Pain ◽  
Compression Screw ◽  
Forefoot Surgery

A double-threaded compression screw (Herbert®) was used as internal fixation of metatarsal neck osteotomy and nonunion repair in 16 patients (18 feet). Fifteen patients had associated symptomatic conditions of the foot. Twelve patients had one or more previous surgical procedures on the involved foot. Fourteen patients (15 feet) underwent 20 primary or revision lesser metatarsal osteotomies. Four of these patients had undergone previous lesser metatarsal osteotomies and had developed recurrent pain beneath six metatarsals and transfer metatarsalgia in one case. The remaining two patients (three feet), with six nonunions from previous metatarsal osteotomies, had repair with screw fixation and bone grafting. Follow-up for the series averaged 14 months.

Symptomatic non-union of the carpal scaphoid: Matti-Russe bone grafting versus Herbert screw fixation

Injury ◽  
1989 ◽  
Vol 20 (3) ◽  
pp. 164-166 ◽  
Author(s):  
R.W. Parkinson ◽  
J.P. Hodgkinson ◽  
E.J. Hargadon
Keyword(s):  
Bone Grafting ◽  
Screw Fixation ◽  
Non Union ◽  
Herbert Screw
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