Prognostic factors in the treatment of carpal scaphoid non-unions

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• 作者：F. Schuind ; F. Moungondo ; W. El Kazzi
• 关键词：Scaphoid non ; union ; Autograft ; Prognostic factors
• 刊名：European Journal of Orthopaedic Surgery & Traumatology
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：27
• 期：1
• 页码：3-9
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Surgical Orthopedics; Traumatic Surgery;
• 出版者：Springer Paris
• ISSN：1432-1068
• 卷排序：27

文摘

In this literature review, the authors analyse the prognostic factors in the curative treatment of scaphoid non-unions. The main negative prognostic factors are smoking, the time elapsed since the fracture, and avascular necrosis of the proximal fragment. If the latter is present, the revascularization by a pedicle or microsurgical bone autograft is probably the treatment of choice. In non-unions without evidence of osteonecrosis, vascularized bone grafts are probably not superior to conventional bone grafts, which can presently be performed under arthroscopic control, with minimal morbidity.