Joseph W Eichenbaum
Icahn School of Medicine at Mount Sinai, USA
Jiujiang Zhu
School of Civil Engineering and Architecture, Wuyi University, China
Mervat N Wahba
The University of Tennessee Health Science Center, USA
Jianqing Zhang
The University of China Agricultural, Beijing
Research Article
Published: April 07, 2019
Abstract: For Many Years, We Have Been Using A Simplified Reconstruction Technique For Scaphoid Non-unions That Involves The Use Of Precise Iliac Bone Graft First Described By Modified Matti-Russe Technique, Based On Consideration Of The Three Elements Of Bone Healing, Deep Knowledge Of The Applied Anatomy, Vascularity And Biomechanics Of The Carpal Bone. We Have Retrospectively Reviewed The Results Of 69 Consecutive Patients With Nonunion Of Different Sites Of The Scaphoid Treated By One Senior Author Between 2005 And 2018. The Objectives Of Our Technique Are To Apply Simple Step By Step Technique That Can Be Utilize By An Average Orthopedic And Hand Surgeon Starting From Simple Careful Volar Soft Tissue Dissection Not To Add Insult To Vasculature, Simple Reduction, Excision Of The Fibrous None Union Part Of The Fracture, Preparation And Micro Fractures Of The Fracture Bed, Precise Bone Graft Harvesting, Simple Fixation And Closure. This Technique Is Simple, Fast And Precise, Only Used For An Established Scaphoid Nonunion Without Significant Arthritis, Chronic Non-union With Bone Cyst Formation And May Be Used In Recurrent Non-union After Failed Surgery Associated With DISI Carpal Deformity But No Significant Radiocarpal Or Mid Carpal Arthritis.
By Pitra Ariesta Shinta Dewi*
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By Dr. Florian Heesch*
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By Karin Engelhart Jentzsch*
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By Traore-Kissima Abdoulaye
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By Abdullah A Alabdulgader
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By Mohamed Ali Alhosani*
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a Creative Commons Attribution 4.0 International License. Based on a work at www.irispublishers.com.
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