Journal List > J Korean Orthop Assoc > v.26(5) > 1114649

Kim, Yoon, Rhee, Oh, and Cheong: The Treatment of Scaphoid Nonunion with Matti-Russe Procedure

Abstract

The scaphoid fracture is commonest carpal bone fracture in young men, who have the highest incidence of nonunion, take the longest time to unite and spend the longest time as outpatients. All but a few fractures are visible on the first radiograph and failure of visualization at this stage is not associated with a bad outcome. The posteroanterior and semipronated views are the most important to scrutinise. And fracture displacement and carpal instability have been documented in patients by abnormal X-rays showing fragment displacement and scapholunate angles, etc. The justification for treating scaphoid fractures have been that a nonunion would most probably result in carpal osteoarthritis and pain in the wrist. Until recently the most common surgical method of dealing with the ununited scaphoid have been the procedure, so called Matti-Russe procedure, widely. Authors have experienced 6 scaphoid nonunion and accomplished good results. The results were as follows; 1. The successful union rates were 83%. 2. While the "Good" classified by Grees's vacularity classes have resulted in 100% bone unions. The "Fair/Poor" classes have failed to gain bone union, 3. The Matti-Russe procedure is a good and recommandable procedure in nonunion of scaphoid especially in good vascularity of proximal pole.

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