Scaphoid nonunion in the presence of a degenerate carpus: don’t rush to salvage surgery
We retrospectively studied 13 patients with degenerative change associated with a scaphoid nonunion treated by internal fixation and bone graft. All patients had radiological signs of radioscaphoid degenerative change (scaphoid nonunion advanced collapse – scaphoid nonunion advanced collapse - grade...
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| Veröffentlicht in: | The Journal of hand surgery, European volume European volume, 2012-01, Vol.37 (1), p.56-60 |
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| container_title | The Journal of hand surgery, European volume |
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| creator | Kent, M. E. Rehmatullah, N. N. T. Young, L. Chojnowski, A. J. |
| description | We retrospectively studied 13 patients with degenerative change associated with a scaphoid nonunion treated by internal fixation and bone graft. All patients had radiological signs of radioscaphoid degenerative change (scaphoid nonunion advanced collapse – scaphoid nonunion advanced collapse - grade II or more) and had surgery more than 2 years after injury. Ten of the 13 patients achieved union at 6 months with all but one of these demonstrating improvement on the Disability of Arm, Shoulder and Hand (DASH) score. Surgeons presented with this difficult patient group might consider reconstruction before salvage procedures. |
| doi_str_mv | 10.1177/1753193411413663 |
| format | Article |
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E.</creatorcontrib><creatorcontrib>Rehmatullah, N. N. T.</creatorcontrib><creatorcontrib>Young, L.</creatorcontrib><creatorcontrib>Chojnowski, A. J.</creatorcontrib><title>Scaphoid nonunion in the presence of a degenerate carpus: don’t rush to salvage surgery</title><title>The Journal of hand surgery, European volume</title><addtitle>J Hand Surg Eur Vol</addtitle><description>We retrospectively studied 13 patients with degenerative change associated with a scaphoid nonunion treated by internal fixation and bone graft. All patients had radiological signs of radioscaphoid degenerative change (scaphoid nonunion advanced collapse – scaphoid nonunion advanced collapse - grade II or more) and had surgery more than 2 years after injury. Ten of the 13 patients achieved union at 6 months with all but one of these demonstrating improvement on the Disability of Arm, Shoulder and Hand (DASH) score. Surgeons presented with this difficult patient group might consider reconstruction before salvage procedures.</description><subject>Biological and medical sciences</subject><subject>Bone Transplantation - methods</subject><subject>Disability Evaluation</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fractures, Bone - surgery</subject><subject>Fractures, Ununited - diagnostic imaging</subject><subject>Fractures, Ununited - surgery</subject><subject>Humans</subject><subject>Ilium - transplantation</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Salvage Therapy</subject><subject>Scaphoid Bone - diagnostic imaging</subject><subject>Scaphoid Bone - injuries</subject><subject>Traumas. 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Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Salvage Therapy</topic><topic>Scaphoid Bone - diagnostic imaging</topic><topic>Scaphoid Bone - injuries</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kent, M. E.</creatorcontrib><creatorcontrib>Rehmatullah, N. N. T.</creatorcontrib><creatorcontrib>Young, L.</creatorcontrib><creatorcontrib>Chojnowski, A. 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J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Scaphoid nonunion in the presence of a degenerate carpus: don’t rush to salvage surgery</atitle><jtitle>The Journal of hand surgery, European volume</jtitle><addtitle>J Hand Surg Eur Vol</addtitle><date>2012-01</date><risdate>2012</risdate><volume>37</volume><issue>1</issue><spage>56</spage><epage>60</epage><pages>56-60</pages><issn>1753-1934</issn><eissn>2043-6289</eissn><abstract>We retrospectively studied 13 patients with degenerative change associated with a scaphoid nonunion treated by internal fixation and bone graft. All patients had radiological signs of radioscaphoid degenerative change (scaphoid nonunion advanced collapse – scaphoid nonunion advanced collapse - grade II or more) and had surgery more than 2 years after injury. Ten of the 13 patients achieved union at 6 months with all but one of these demonstrating improvement on the Disability of Arm, Shoulder and Hand (DASH) score. 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| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List; Alma/SFX Local Collection |
| subjects | Biological and medical sciences Bone Transplantation - methods Disability Evaluation Diseases of the osteoarticular system Female Fracture Fixation, Internal - methods Fractures, Bone - surgery Fractures, Ununited - diagnostic imaging Fractures, Ununited - surgery Humans Ilium - transplantation Injuries of the limb. Injuries of the spine Male Medical sciences Radiography Retrospective Studies Salvage Therapy Scaphoid Bone - diagnostic imaging Scaphoid Bone - injuries Traumas. Diseases due to physical agents Treatment Outcome |
| title | Scaphoid nonunion in the presence of a degenerate carpus: don’t rush to salvage surgery |
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