scholarly journals KIRSCHNER WIRES VERSUS HERBERT SCREW FIXATION WITH BONE GRAFT IN CASE OF NONUNITED SCAPHOID WAIST FRACTURE

2021 ◽  
Vol 50 (4) ◽  
pp. 2511-2520
Keyword(s):  
Bone Graft ◽  
Screw Fixation ◽  
Kirschner Wires ◽  
Herbert Screw

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.

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.

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>

Analysis of functional outcome of management of scaphoid waist fractures with herbert screw fixation

2021 ◽  
Vol 12 (2) ◽  
pp. 193
Author(s):  
T Sivabalan ◽  
V Thirunarayanan ◽  
S Cheralathan ◽  
M Ravi ◽  
SSiva Shankar
Keyword(s):  
Functional Outcome ◽  
Screw Fixation ◽  
Herbert Screw

scholarly journals Comparison Between With Kirschner-wires Only And Combined Screw Fixation in Proximal Reverse Chevron osteotomy(PCMO) For Hallux Valgus Deformity

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0002
Author(s):  
Hwa Jun Kang ◽  
Hong-Geun Jung ◽  
Jong-Soo Lee ◽  
Sungwook Kim ◽  
Mao Yuan Sun
Keyword(s):  
Hallux Valgus ◽  
Screw Fixation ◽  
Fixation Method ◽  
Kirschner Wires ◽  
Significant Difference ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Severe Hallux Valgus

Category: Bunion Introduction/Purpose: Kirschner-wires fixation, sometimes we have encountered pin irritation or pull-out. This is the reason why we consider additional fixation. Moreover, there are few reports according to comparison of fixation method, and Most of them focused on comparison K-wires or screw fixation only. Purpose of study is to compare clinical and radiographic outcome between Kirschner-wires only and combined screw fixation. Methods: The study included two different groups according to fixation methods. One with Kirschner-wires fixation (KW group) included 117 feet(of 98 patients), the other with combined screw fixation (KWS group) 56 feet (of 40 patients) with moderate to severe hallux valgus. Clinically, the preoperative and final follow-up visual analog scale (VAS) pain scores, the preoperative and final follow-up American Orthopaedic Foot & Ankle Society (AOFAS) hallux metatarsophalangeal (MTP)-interphalangeal (IP) scores, and patient satisfaction after the surgery were evaluated. Radiographically, the hallux valgus angle (HVA), intermetatarsal angle (IMA), medial sesamoid position (MSP), and first to fifth metatarsal width (1-5MTW) were analyzed before and after surgery. Results: The mean AOFAS score improved preoperative 65.5 to 95.3 at final follow up in group A, while preoperative 56.5 to 88.6 at final follow up. Pain VAS decreased from 5.7 to 0.5 in group A, whereas from 6.2 to 1.6 in group B. The mean HVA all improved from preoperative 38.5 to 9.3 at final follow up in group A and 34.7 to 9.1 in group B. The mean IMA and MSP also improved significantly at final follow up. In comparative analysis, the IMA did not show significant difference between postoperative and final state in group A, while showed significant increase in group B. Conclusion: We achieved favorable clinical and radiographic outcomes with minimal complications in patient with moderate to severe hallux valgus in both groups. However, this study shows no statistically significant difference in IMA during follow-up period and lower recurrence rate. Therefore we need to consider combined fixation method to provide better stability and can expect lower recurrence rate.

Factors Affecting the Outcome in 50 Cases of Scaphoid Nonunion Treated with Herbert Screw Fixation

1998 ◽  
Vol 23 (5) ◽  
pp. 680-685 ◽  
Author(s):  
J. SHAH ◽  
W. A. JONES
Keyword(s):  
Avascular Necrosis ◽  
Screw Fixation ◽  
Scaphoid Nonunion ◽  
Success Rates ◽  
Previous Surgery ◽  
Factors Affecting ◽  
Herbert Screw ◽  
Heterogeneous Nature ◽  
History Of

Our experience in the treatment of 50 scaphoid nonunions treated with Herbert screw fixation is reviewed. Success rates fell off as the duration of nonunion before treatment increased. However, this appeared to be related to the increased incidence of avascular necrosis with time rather than simply the factor of time alone. In this series the major adverse determinants for outcome were avascular necrosis and a history of previous surgery for nonunion. Failure to graft in a selected group with an intact cartilaginous envelope or a stable firm fibrous union did not affect results. The heterogeneous nature of any series of scaphoid nonunions is emphasized and the difficulties in comparing results with cohorts unmatched for the various adverse factors discussed is stressed.

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