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Cho, Hahm, and Lee: The Result of Osteosynthesis of Scaphoid with Matti-Russe Technique and Herbert Screw
Original Article

Journal of the Korean Society of Fractures 1996; 9(1): 24-32.

Published online: 4 July 2016

DOI: https://doi.org/10.12671/jksf.1996.9.1.24

The Result of Osteosynthesis of Scaphoid with Matti-Russe Technique and Herbert Screw

Duck-Yun Cho, Young-Gil Hahm, Myoung-Hyoung Lee

Department of Orthopedic Surgery, National Medical Center, Seoul, Korea.

Copyright © The Korean Fracture Society

Abstract

Fracture of scaphoid are second most common fractures of wrist, and about 1/6 of these fractures proceed to nonunion. The most widely used surgical procedure of scaphoid nonunion has been Matti-Russe procedures,and Hebert screw is a recently introduced fixation device as a means of rigid internal fixation promoting union and decreasing immobilization time.
Authors have managed 15 cases of scaphoid nonunion with Mtti-Russe bone grafting technique and herbert screw, and accomplished satisfactory results: The union rate Was 96.6%, the average time to union was 17.1 weeks, and according to Maudsleys assessment criteria, we obtained 7 cases of excellnt, 6 good, and 2 fair results. Despite of its technical demand and lack of the number and study material, Matti-Russe bone grafting technique with Herbert screw fixation seems efficient and reliable method of treatment.

Keywords: Scaphoid, Nonunion, Osteosynthesis, Matt-Russe bone graft, Hebert screw

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