A-0086Treatment of scaphoid non-union in the middle third (Herbert D2) with conventional bone grafting and screw fixation: an analysis of clinical and radiological results

Over a period of 24 years, the author has used five different methods of bone-grafting for ununited scaphoid fractures. The clinical and radiological results have been reviewed, with a minimum follow-up of 1 year. Radiologically the best results (78% definite union) were obtained with a “wedge” graft and Herbert screw, while the worst results followed the original Russe operation. The clinical result often did not coincide with the radiological outcome. All methods led to a decrease in pain in most cases, but little or no pain was achieved most often by the modified Russe graft. With proximal pole fractures, bony union was only achieved in 54% but the symptoms were always lessened.

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CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY

Journal of Turkish Spinal Surgery ◽

10.4274/jtss.galenos.2021.338 ◽

2021 ◽

Vol 32 (2) ◽

pp. 50-57

Author(s):

Durmuş Oğuz Karakoyun ◽

Ali Dalgıç

Keyword(s):

Cervical Spondylotic Myelopathy ◽

Screw Fixation ◽

Radiological Results ◽

Clinical And Radiological Results

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

Journal of Hand Surgery (European Volume) ◽

10.1016/j.jhsb.2005.12.010 ◽

2006 ◽

Vol 31 (3) ◽

pp. 252-255 ◽

Cited By ~ 58

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.

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

The Journal of Hand Surgery (Asian-Pacific Volume) ◽

10.1142/s2424835520720017 ◽

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.

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