Details

Autor(en) / Beteiligte

• Jaminet, P
• Werdin, F
• Pfau, M
• Götz, M
• Manoli, T
• Rahmanian-Schwarz, A
• Schaller, H E

Titel

Treatment algorithm for scaphoid nonunion : retrospective case-control study of 208 patients

Ist Teil von

• Der Unfallchirurg, 2012-11, Vol.115 (11), p.994

Ort / Verlag

Germany

Erscheinungsjahr

2012

Quelle

MEDLINE

Beschreibungen/Notizen

• We present a retrospective study on different treatment options for scaphoid nonunion. The results are compared to the literature and a treatment algorithm is proposed. Based on a retrospective case-control study, 208 patients suffering from scaphoid nonunion were treated between 2000 and 2006. The patients were grouped depending on the localization of the nonunion: proximal (n=10), middle (n=105), or distal (n=93) third. In the presence of a small avascular proximal fragment, a vascularized bone graft from the distal radius was added (n=53). The determination of scaphoid healing was achieved by conventional radiographs or CT scans. Overall scaphoid healing occurred in 89.9% (n=187). For small proximal scaphoid fragments (n=93), we could show healing rates up to 83% (n=77). Using a vascularized bone graft from the distal radius, scaphoid consolidation was achieved in 81% for avascular proximal fragments and recurrent scaphoid nonunion (n=53). Using sophisticated treatment options, the prognosis of scaphoid nonunions is very good.