Document Detail


A comparison of the use of distal radius vascularised bone graft and non-vascularised iliac crest bone graft in the treatment of non-union of scaphoid fractures.
MedLine Citation:
PMID:  18977834     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We compared two surgical techniques for the treatment of scaphoid non-union, namely, using distal radius vascularised bone graft and iliac crest non-vascularised bone graft. Eighty patients with symptomatic scaphoid non-union underwent surgical treatment, including 35 patients treated with distal radius vascularised bone graft and 45 treated by iliac crest non-vascularised bone graft. Patients were assessed objectively by examination of wrist range of motion, grip strength and radiographic findings in the postoperative period after a mean time of 2.8 (1.4) (range 1-5.2) years. Similar functional results were obtained with the two techniques. All cases of non-union in the non-vascularised group obtained consolidation in a mean time of 8.89 (2.26) months and in the vascularised group in a mean time of 7.97 (3.06) months. Three cases of consolidation failure occurred in the vascularised group and were related to technical difficulties.
Authors:
J Braga-Silva; F M Peruchi; G M Moschen; D Gehlen; A V Padoin
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Journal of hand surgery, European volume     Volume:  33     ISSN:  1753-1934     ISO Abbreviation:  -     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-11-03     Completed Date:  2009-02-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101315820     Medline TA:  J Hand Surg Eur Vol     Country:  England    
Other Details:
Languages:  eng     Pagination:  636-40     Citation Subset:  IM    
Affiliation:
Service of Hand Surgery and Reconstructive Microsurgery, Hospital São Lucas, Pontifical Catholic University of Rio Grande do Sul Porto Alegre, Brazil. jeffmao@terra.com.br
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Bone Transplantation / methods*
Cohort Studies
Fracture Fixation, Internal / methods*
Fracture Healing
Fractures, Bone / physiopathology,  radiography,  surgery*
Fractures, Ununited / physiopathology,  radiography,  surgery*
Humans
Ilium / transplantation
Male
Middle Aged
Radius / transplantation
Recovery of Function
Scaphoid Bone / blood supply*,  injuries*
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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