TREATMENT OF SCHAPHOID NONUNION WITH VOLAR LOCKED PLATE
ABSTRACT Objective: To assess and compare radiographic, tomographic and functional pre and postoperative parameters of patients submitted to treatment of nonunion of the scaphoid waist with locked plate for scaphoid. Methods: This is a case series of scaphoid waist nonunion, operated from March 20...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Ortopedia e Traumatologia
2019-05-01
|
| Series: | Acta Ortopédica Brasileira |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000300141&tlng=en |
| _version_ | 1828125802542137344 |
|---|---|
| author | Felipe Hellmeister Burgos João Carlos Nakamoto Hugo Alberto Nakamoto Fernanda do Carmo Iwase Rames Mattar Junior |
| author_facet | Felipe Hellmeister Burgos João Carlos Nakamoto Hugo Alberto Nakamoto Fernanda do Carmo Iwase Rames Mattar Junior |
| author_sort | Felipe Hellmeister Burgos |
| collection | DOAJ |
| description | ABSTRACT Objective: To assess and compare radiographic, tomographic and functional pre and postoperative parameters of patients submitted to treatment of nonunion of the scaphoid waist with locked plate for scaphoid. Methods: This is a case series of scaphoid waist nonunion, operated from March 2017 to March 2018 at the Institute of Orthopedics and Traumatology of HCFMUSP, using the technique of Fisk-Fernandez and osteosynthesis with locked plate for scaphoid APTUS®Hand from Medartis. The patients were submitted to radiographs, computed tomography and functional evaluation by the occupational therapy team in the pre and postoperative periods. Results: There was consolidation of the scaphoid waist nonunion in all cases, improvement in the parameters of carpal alignment in the imaging examinations, but functionally we observed reduction of the range of motion and grip strength in relation to the contralateral limb. Conclusions: The treatment of the scaphoid waist nonunion with locked plate was effective, with a high index of consolidation and improvement of the carpal alignment in the imaging tests, although with a reduction in the range of motion and grip strength in relation to the contralateral limb when evaluated with 12 weeks postoperatively. Level of Evidence IV, Case series. |
| first_indexed | 2024-04-11T15:27:11Z |
| format | Article |
| id | doaj.art-b63a31238ec04690a1f5c1c13b713025 |
| institution | Directory Open Access Journal |
| issn | 1413-7852 |
| language | English |
| last_indexed | 2024-04-11T15:27:11Z |
| publishDate | 2019-05-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj.art-b63a31238ec04690a1f5c1c13b7130252022-12-22T04:16:14ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522019-05-0127314114510.1590/1413-785220192703214849TREATMENT OF SCHAPHOID NONUNION WITH VOLAR LOCKED PLATEFelipe Hellmeister Burgoshttps://orcid.org/0000-0003-3309-6099João Carlos Nakamotohttps://orcid.org/0000-0003-4780-827XHugo Alberto Nakamotohttps://orcid.org/0000-0002-7301-4329Fernanda do Carmo Iwasehttps://orcid.org/0000-0001-9616-4381Rames Mattar Juniorhttps://orcid.org/0000-0003-4202-4652ABSTRACT Objective: To assess and compare radiographic, tomographic and functional pre and postoperative parameters of patients submitted to treatment of nonunion of the scaphoid waist with locked plate for scaphoid. Methods: This is a case series of scaphoid waist nonunion, operated from March 2017 to March 2018 at the Institute of Orthopedics and Traumatology of HCFMUSP, using the technique of Fisk-Fernandez and osteosynthesis with locked plate for scaphoid APTUS®Hand from Medartis. The patients were submitted to radiographs, computed tomography and functional evaluation by the occupational therapy team in the pre and postoperative periods. Results: There was consolidation of the scaphoid waist nonunion in all cases, improvement in the parameters of carpal alignment in the imaging examinations, but functionally we observed reduction of the range of motion and grip strength in relation to the contralateral limb. Conclusions: The treatment of the scaphoid waist nonunion with locked plate was effective, with a high index of consolidation and improvement of the carpal alignment in the imaging tests, although with a reduction in the range of motion and grip strength in relation to the contralateral limb when evaluated with 12 weeks postoperatively. Level of Evidence IV, Case series.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000300141&tlng=enPseudarthrosis/surgeryScaphoid bone/injuriesScaphoid bone/surgeryFracture fixation, internalBone plates |
| spellingShingle | Felipe Hellmeister Burgos João Carlos Nakamoto Hugo Alberto Nakamoto Fernanda do Carmo Iwase Rames Mattar Junior TREATMENT OF SCHAPHOID NONUNION WITH VOLAR LOCKED PLATE Acta Ortopédica Brasileira Pseudarthrosis/surgery Scaphoid bone/injuries Scaphoid bone/surgery Fracture fixation, internal Bone plates |
| title | TREATMENT OF SCHAPHOID NONUNION WITH VOLAR LOCKED PLATE |
| title_full | TREATMENT OF SCHAPHOID NONUNION WITH VOLAR LOCKED PLATE |
| title_fullStr | TREATMENT OF SCHAPHOID NONUNION WITH VOLAR LOCKED PLATE |
| title_full_unstemmed | TREATMENT OF SCHAPHOID NONUNION WITH VOLAR LOCKED PLATE |
| title_short | TREATMENT OF SCHAPHOID NONUNION WITH VOLAR LOCKED PLATE |
| title_sort | treatment of schaphoid nonunion with volar locked plate |
| topic | Pseudarthrosis/surgery Scaphoid bone/injuries Scaphoid bone/surgery Fracture fixation, internal Bone plates |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000300141&tlng=en |
| work_keys_str_mv | AT felipehellmeisterburgos treatmentofschaphoidnonunionwithvolarlockedplate AT joaocarlosnakamoto treatmentofschaphoidnonunionwithvolarlockedplate AT hugoalbertonakamoto treatmentofschaphoidnonunionwithvolarlockedplate AT fernandadocarmoiwase treatmentofschaphoidnonunionwithvolarlockedplate AT ramesmattarjunior treatmentofschaphoidnonunionwithvolarlockedplate |