Non-Union of the Scaphoid: Russe Graft vs Herbert Screw

1988 ◽  
Vol 13 (1) ◽  
pp. 83-86
Author(s):  
C. D. WARREN-SMITH ◽  
N. J. BARTON
Keyword(s):  
Bone Graft ◽  
Success Rate ◽  
Screw Fixation ◽  
Range Of Movement ◽  
Non Union ◽  
Herbert Screw ◽  
Results Of Treatment ◽  
And Function

The results of treatment in 50 consecutive patients with established non-union of the scaphoid are presented. All patients were treated under the care of a single consultant, for the same indications. Russe bone graft is compared with wedge bone graft plus Herbert screw fixation, in terms of union and function. Overall, a higher success rate was obtained by wedge graft plus Herbert screw, and a significantly better range of movement. However, Russe bone graft appears equally satisfactory for fibrous non-union.

Non-Union of the Scaphoid: Russe Graft vs Herbert Screw

1993 ◽  
Vol 18 (3) ◽  
pp. 408-409
Author(s):  
C. D. Warren-Smith ◽  
N. J. Barton
Keyword(s):  
Bone Graft ◽  
Success Rate ◽  
Screw Fixation ◽  
Range Of Movement ◽  
Non Union ◽  
Herbert Screw ◽  
Results Of Treatment ◽  
And Function

The results of treatment in 50 consecutive patients with established non-union of the scaphoid are presented. All patients were treated under the care of a single consultant, for the same indications. Russe bone graft is compared with wedge bone graft plus Herbert screw fixation, in terms of union and function. Overall, a higher success rate was obtained by wedge graft plus Herbert screw, and a significantly better range of movement. However, Russe bone graft appears equally satisfactory for fibrous non-union.

scholarly journals Outcome of vascularised muscle pedicle bone graft for scaphoid non-union

2018 ◽  
Vol 4 (2) ◽  
pp. 203
Author(s):  
Rajat Charan ◽  
Pankaj Kumar Verma
Keyword(s):  
Bone Graft ◽  
Screw Fixation ◽  
Proximal Pole ◽  
Hardware Failure ◽  
Non Union ◽  
Herbert Screw ◽  
Vascularised Bone Graft ◽  
Full Correction ◽  
The Mean

<p class="abstract"><strong>Background:</strong> The objective of the study was to assess the <span lang="EN-IN">outcome of vascularised muscle pedicle bone graft for scaphoid non-union.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">14 men and 6 women aged 18-45 (mean 25) years with non-union of scaphoid involving proximal pole (n=4), waist (n=14), distal pole (n=2) were randomized to undergo vascularised muscle pedicle bone graft with Herbert screw fixation. The mean duration of non-union was 10 months (range 4-14 months)</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The mean follow up duration was 24 months. 17 of 20 achieved union. 12 of 20 achieved correction of both scapholunate and radiolunate angle. 5 of 20 did not achieve full correction of sacpholunate and radiolunate angle. 3 of 20 did not achieve union. 2 of these 3 were associated with proximal pole absorption. There was no hardware failure or any iatrogenic fracture during pedicle dissection. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">The use of vascularised bone graft has proved to be an effective method for treating scaphoid non-union, especially non-union with an avascular proximal pole and those that have failed to heal after previous procedure.</span></p>

Treatment of Scaphoid Non-Union by Autogenous Iliac Graft with Herbert Screw Fixation

1994 ◽  
Vol 29 (3) ◽  
pp. 896
Author(s):  
Han Yong Lee ◽  
Yong Koo Kang ◽  
In Seol Chung ◽  
Seung Key Kim ◽  
Seung Beom Kang
Keyword(s):  
Screw Fixation ◽  
Non Union ◽  
Herbert Screw

Scaphoid Non-Union: Factors Affecting the Functional Outcome of Open Reduction and Wedge Grafting with Herbert Screw Fixation

1993 ◽  
Vol 18 (2) ◽  
pp. 219-224 ◽  
Author(s):  
R. NAKAMURA ◽  
E. HORII ◽  
K. WATANABE ◽  
K. TSUNODA ◽  
T. MIURA
Keyword(s):  
Surgical Treatment ◽  
Functional Outcome ◽  
Open Reduction ◽  
Screw Fixation ◽  
Functional Results ◽  
Bony Union ◽  
Proximal Fragment ◽  
Factors Affecting ◽  
Non Union ◽  
Herbert Screw

50 patients with scaphoid non-union were treated by open reduction, anterior wedge bone grafting and internal fixation using the Herbert screw. Intra-operative image intensiner control enabled us to insert the screw into the scaphoid accurately. An excellent or good functional outcome was less likely when more than 5 years had elapsed since injury, the non-union was in the proximal third, when sclerosis of the proximal fragment was present, and when reduction of carpal and scaphoid deformity was unsatisfactory. These four factors are believed to be the primary determinants affecting the functional results of the surgical treatment of scaphoid non-union, even when bony union is achieved.

Low Extra-articular (Transcondylar) Fractures of the Distal Humerus

2012 ◽  
Vol 4 (4) ◽  
pp. 282-286
Author(s):  
Alexander A. Weening ◽  
Kim M. Brouwer ◽  
Margaritha Adams ◽  
David Ring
Keyword(s):  
Medical Record ◽  
Distal Humerus ◽  
Common Type ◽  
Fracture Type ◽  
Non Union ◽  
Results Of Treatment ◽  
Humerus Fractures ◽  
Distal Humerus Fractures ◽  
And Function

Background We reviewed our experience with low transcondylar, extra-articular distal humerus fractures to determine the prevalence of extra-articular distal humerus fractures, the percentage that are low transcondylar fractures, and the results of treatment. Material and methods One hundred seventy-four fractures of the distal humerus in adult patients were identified. Patients with at least 1-year of follow-up were evaluated based on the medical record according to the system described by Broberg and Morrey. Results Twenty-six fractures (15%) were extra-articular (AO Type A), 15 involved both the medial and lateral columns (8.6%), nine of which were low transcondylar fractures representing 5% of all fractures and 60% of the extra-articular bicolumnar fractures. Among the nine patients with low transcondylar fractures, two had non-union and three died within 3 months of injury. Among the eight patients with healed fractures after sufficient follow-up, patients with higher extra-articular distal humerus fractures had better motion and function than patients with low transcondylar fractures. Conclusions Transcondylar fractures are the most common type of extra-articular bicolumnar fracture and may be more common than previously recognized. Mortality within 3 months and non-union appear common with this fracture type.

Screw Fixation and Autogenous Bone Graft for an Irreducible Distal Ulna Fracture Associated with Distal Radius Fracture

2017 ◽  
Vol 22 (02) ◽  
pp. 236-239 ◽  
Author(s):  
Kiyohito Naito ◽  
Yoichi Sugiyama ◽  
Hiroyuki Obata ◽  
Atsuhiko Mogami ◽  
Osamu Obayashi ◽  
...  
Keyword(s):  
Bone Graft ◽  
Distal Radius ◽  
Screw Fixation ◽  
Autogenous Bone Graft ◽  
Autogenous Bone ◽  
Bone Fragment ◽  
Distal Ulna ◽  
Ulna Fracture ◽  
Herbert Screw ◽  
Ulna Fractures

Distal ulna fractures often occur with distal radius fractures, and their treatment method is still controversial. We considered reduction of the distal radio-ulnar joint (DRUJ) surface the most important factor when treating distal ulna fractures accompanied by residual dislocation. We herein presented a patient with a distal ulna fracture accompanied by dislocation of the DRUJ surface in whom an autogenous bone fragment collected from the radius was grafted onto the ulnar bone defect after open reduction and Herbert screw fixation. In this technique, the bone fragment was supported through the medullary cavity by inserting a Herbert screw, which was less likely to cause irritation between the screw and surrounding tissue, because the screw was almost entirely present in the bone. In addition, an autogenous bone graft from the same surgical field may be less invasive than that from another region.

CLINICAL RESULT OF OPERATIVE TREATMENT FOR SCAPHOID NON-UNION IN THE SKELETALLY IMMATURE: PERCUTANEOUS VERSUS OPEN PROCEDURE

Hand Surgery ◽  
2008 ◽  
Vol 13 (01) ◽  
pp. 11-16 ◽  
Author(s):  
In-Ho Jeon ◽  
Hemanshu Kochhar ◽  
Ivan D. Micic ◽  
Soo-Hoon Oh ◽  
Shin-Yoon Kim ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Screw Fixation ◽  
Excellent Result ◽  
Skeletally Immature ◽  
Open Procedure ◽  
Non Union ◽  
Herbert Screw ◽  
Cystic Changes ◽  
Clinical Scoring ◽  
Good Treatment Option

This article is a retrospective study of 13 cases of scaphoid non-union in skeletally immature patients. For the fracture fixation, three cases of stable fibrous union with minimal sclerosis, without deformity or cystic changes were considered for the percutaneous Herbert screw fixation. Ten cases were managed with the open reduction and internal fixation with or without bone grafting. The average union time was 10.5 weeks post-operatively. The average union time was lesser in percutaneous Herbert screw fixation group (nine weeks) than open procedure group (11.5 weeks). All cases achieved union without any supplemental procedures. According to Cooney's clinical scoring, 12 cases were rated excellent result and one good result. The percutaneous Herbert screw fixation for scaphoid non-union in skeletally immature patients can be a good treatment option when it is fibrous union with no deformity.

Incidence of Osteoarthritis in the Scapho-Trapezial Joint After Herbert Screw Fixation of the Scaphoid

2003 ◽  
Vol 28 (5) ◽  
pp. 496-499 ◽  
Author(s):  
N. J. S. KEHOE ◽  
R. G. HACKNEY ◽  
N. J. BARTON
Keyword(s):  
Screw Fixation ◽  
Degenerative Changes ◽  
Lateral Part ◽  
Non Union ◽  
Herbert Screw ◽  
Scaphoid Fractures

Twenty patients treated with a Herbert screw for scaphoid fractures (acute or non-union) were reviewed and X-rayed 5–10 years later to assess whether there were degenerative changes in the scapho-trapezial joint due to insertion of the screw. Six had some irregularity in the lateral part of that joint, three of which followed backing-out of the screw. Two others were described as showing irregularity all round the scaphoid but, apart from these, no radiological abnormalities were seen in the central or ulnar part of the scapho-trapezial joint, or on the proximal tip of the scaphoid.

Anterior Wedge-Shaped Bone Graft for Old Scaphoid Fractures or Non-Unions

1995 ◽  
Vol 20 (2) ◽  
pp. 194-200 ◽  
Author(s):  
Y. TSUYUGUCHI ◽  
T. MURASE ◽  
N. HIDAKA ◽  
H. OHNO ◽  
H. KAWAI
Keyword(s):  
Retrospective Study ◽  
Bone Graft ◽  
Clinical Assessment ◽  
Significant Relationship ◽  
Scoring System ◽  
Screw Fixation ◽  
The Other ◽  
Non Union ◽  
Scaphoid Fractures ◽  
Primary Bone

For appraisal of anterior wedge-shaped grafts for the humpback deformity of the scaphoid, a retrospective study of 27 cases with old scaphoid fractures or non-unions was carried out. 11 cases were treated with Herbert screw fixation and anterior wedge-shaped graft and the other cases with other methods. For the assessment of carpal alignment, radio-lunate and scapho-lunate angles were measured with peri-operative radiographs. For the clinical assessment, the scoring system of Cooney was applied. In 25 cases, primary bone union was obtained with one attempt and in two cases, with the second operation. Union was achieved in a mean of 3.4 months. The post-operative wrist score ranged from 65 to 100 with an average 81.2 points. There was a statistically significant relationship between the wrist score and the post-operative scapho-lunate angulation of the affected wrist. The humpback deformity of scaphoid non-union should be treated precisely with carpal realignment surgery or anterior wedge-shaped bone graft.

Sign in / Sign up

Export Citation Format

Share Document