TREATMENT OF SCAPHOID NONUNION WITH OLECRANON BONE GRAFT AND COMPRESSION SCREW
ABSTRACT Objective: To evaluate the outcome of olecranon bone graft and compression screw for the treatment of nonunion of the Lichtman type I scaphoid. Method: We evaluated 15 patients of 32 who underwent surgical treatment for nonunion of the Lichtman type I scaphoid with olecranon bone graft...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2016-06-01
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| Series: | Acta Ortopédica Brasileira |
| Subjects: | |
| Online Access: | http://www.scielo.br/pdf/aob/v24n3/1413-7852-aob-24-03-00159.pdf |
| _version_ | 1798013869447184384 |
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| author | ANTONIO TUFI NEDER FILHO EDUARDO TRALDI FRANCESCHINI ARLINDO GOMES PARDINI JÚNIOR MARCELO RIBERTO NILTON MAZZER |
| author_facet | ANTONIO TUFI NEDER FILHO EDUARDO TRALDI FRANCESCHINI ARLINDO GOMES PARDINI JÚNIOR MARCELO RIBERTO NILTON MAZZER |
| author_sort | ANTONIO TUFI NEDER FILHO |
| collection | DOAJ |
| description | ABSTRACT Objective: To evaluate the outcome of olecranon bone graft and compression screw for the treatment of nonunion of the Lichtman type I scaphoid. Method: We evaluated 15 patients of 32 who underwent surgical treatment for nonunion of the Lichtman type I scaphoid with olecranon bone graft and screw compression. Results: We obtained 100% consolidation in our sample. The mean flexion of the wrist on the affected side was 68° and 75° on the non-affected side. The average extension was 63° and 72°, respectively. The average grip strength was 35 kgf. This corresponds to 98% of the handgrip strength of the non-affected side, which was 37 kgf. The DASH score averaged 5 points. Conclusion: We believe that the use of bone graft obtained from the olecranon and secured with cannulated screw is a resolute technique for cases of linear nonunion of the Lichtmann type I scaphoid. It has the advantages of a new anesthesia for removal of the graft and the access is easy, providing a good exposure for removal and good aesthetic results. Level of evidence IV. Case series. |
| first_indexed | 2024-04-11T15:09:25Z |
| format | Article |
| id | doaj.art-72669644d1074667960b2bf9420535c4 |
| institution | Directory Open Access Journal |
| issn | 1413-7852 |
| language | English |
| last_indexed | 2024-04-11T15:09:25Z |
| publishDate | 2016-06-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj.art-72669644d1074667960b2bf9420535c42022-12-22T04:16:42ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522016-06-0124315916310.1590/1413-785220162403155935TREATMENT OF SCAPHOID NONUNION WITH OLECRANON BONE GRAFT AND COMPRESSION SCREWANTONIO TUFI NEDER FILHOEDUARDO TRALDI FRANCESCHINIARLINDO GOMES PARDINI JÚNIORMARCELO RIBERTONILTON MAZZERABSTRACT Objective: To evaluate the outcome of olecranon bone graft and compression screw for the treatment of nonunion of the Lichtman type I scaphoid. Method: We evaluated 15 patients of 32 who underwent surgical treatment for nonunion of the Lichtman type I scaphoid with olecranon bone graft and screw compression. Results: We obtained 100% consolidation in our sample. The mean flexion of the wrist on the affected side was 68° and 75° on the non-affected side. The average extension was 63° and 72°, respectively. The average grip strength was 35 kgf. This corresponds to 98% of the handgrip strength of the non-affected side, which was 37 kgf. The DASH score averaged 5 points. Conclusion: We believe that the use of bone graft obtained from the olecranon and secured with cannulated screw is a resolute technique for cases of linear nonunion of the Lichtmann type I scaphoid. It has the advantages of a new anesthesia for removal of the graft and the access is easy, providing a good exposure for removal and good aesthetic results. Level of evidence IV. Case series.http://www.scielo.br/pdf/aob/v24n3/1413-7852-aob-24-03-00159.pdfScaphoid bonePseudarthrosisBone transplantation. |
| spellingShingle | ANTONIO TUFI NEDER FILHO EDUARDO TRALDI FRANCESCHINI ARLINDO GOMES PARDINI JÚNIOR MARCELO RIBERTO NILTON MAZZER TREATMENT OF SCAPHOID NONUNION WITH OLECRANON BONE GRAFT AND COMPRESSION SCREW Acta Ortopédica Brasileira Scaphoid bone Pseudarthrosis Bone transplantation. |
| title | TREATMENT OF SCAPHOID NONUNION WITH OLECRANON BONE GRAFT AND COMPRESSION SCREW |
| title_full | TREATMENT OF SCAPHOID NONUNION WITH OLECRANON BONE GRAFT AND COMPRESSION SCREW |
| title_fullStr | TREATMENT OF SCAPHOID NONUNION WITH OLECRANON BONE GRAFT AND COMPRESSION SCREW |
| title_full_unstemmed | TREATMENT OF SCAPHOID NONUNION WITH OLECRANON BONE GRAFT AND COMPRESSION SCREW |
| title_short | TREATMENT OF SCAPHOID NONUNION WITH OLECRANON BONE GRAFT AND COMPRESSION SCREW |
| title_sort | treatment of scaphoid nonunion with olecranon bone graft and compression screw |
| topic | Scaphoid bone Pseudarthrosis Bone transplantation. |
| url | http://www.scielo.br/pdf/aob/v24n3/1413-7852-aob-24-03-00159.pdf |
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