0 40

Cited 0 times in

Headless screw fixation through the dorsal rough surface for proximal-pole scaphoid-nonunion: a report of 15 patients

Authors
 JungJun Hong  ;  Yun-Rak Choi  ;  Il-Hyun Koh  ;  Won-Taek Oh  ;  Jucheol Shin  ;  Ho-Jung Kang 
Citation
 JOURNAL OF HAND SURGERY-EUROPEAN VOLUME, Vol.45(9) : 965-973, 2020-11 
Journal Title
 JOURNAL OF HAND SURGERY-EUROPEAN VOLUME 
ISSN
 1753-1934 
Issue Date
2020-11
Keywords
Dorsal rough surface ; dorsal-retrograde technique ; headless screw ; proximal-pole nonunion ; scaphoid
Abstract
Clinical outcomes of the dorsal-retrograde headless screw-fixation technique in 15 patients with proximal scaphoid nonunion are presented. In this technique, screws are inserted from the dorsal rough surface of the scaphoid, located between the dorsal ridge and scaphoid-trapezium-trapezoid joint. Fifteen patients underwent osteosynthesis with this technique with iliac bone graft. Seven patients required primary surgery, and eight patients with a history of failed operation required revision surgery. Among 15 patients, 13 achieved union and two with persistent nonunion were asymptomatic with average follow-up of 24 months (range 14-57). Mean time to union was 20 weeks (range 12-40). Our experience with the dorsal-retrograde headless screw fixation technique has shown encouraging results for the treatment of proximal-scaphoid nonunion, especially in revision surgery wherein secure fixation of the small proximal fragments can be difficult using conventional anterograde techniques.Level of evidence: IV.
Full Text
https://journals.sagepub.com/doi/10.1177/1753193420903672
DOI
10.1177/1753193420903672
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Koh, Il Hyun(고일현) ORCID logo https://orcid.org/0000-0001-9823-8516
Oh, Won Taek(오원택) ORCID logo https://orcid.org/0000-0003-1815-0851
Choi, Yun Rak(최윤락)
Hong, Jung Jun(홍정준) ORCID logo https://orcid.org/0000-0003-1715-1190
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/180267
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links