Results of distal radius core decompression and volar percutaneous fixation in scaphoid non-unions without grafting Süleyman Semih Dedeoğlu,Yunus imren,Haluk.

Slides:

Advertisements

Similar presentations

Current Concepts and Review of Fractures of the Scaphoid

Advertisements

Scaphoid Fracture Case Study

Common Upper Limb Fractures By Chris Pullen.

SYB 3 Marni Scheiner. Scaphoid Fracture Most common type of wrist fracture Location: Radial aspect of the hand just distal to the radius itself 65%

Mr G Shyamalan Consultant Hand Surgeon HEFT.  Understanding the radiograph  Classification  Imaging and consent  Approach  Surgical case based discussion.

Olecranon fracture Lonnie Froberg, MD, Ph.D Odense University Hospital.

Scaphoid Fractures. Scaphoid Fractures Scaphoid Fractures The scaphoid is the most frequently fractured carpal bone, accounting for 71% of all carpal.

Wrist and Scaphoid Index case term 1.

A Prospective Study Of Functional Outcome Following Intra-articular Fracture Of Distal Radius In Adults -- A Comparison Between External Fixation And Internal.

By: Mohsen Mardani Kivi M.D. Assistant Professor of Orthopedics Orthopedic Research Center Guilan University of Medical Sciences.

Scaphoid Fixation Iliac Crest vs Distal Radius Bone Graft A Biomechanical Study Vera Kinzel Paul Jarrett Karl Stoffel Fremantle Hospital,WA.

Hemicortical Resection and Inlay Allograft Reconstruction for Primary Bone Tumors by M.P.A. Bus, J.A.M. Bramer, G.R. Schaap, H.W.B. Schreuder, P.C. Jutte,

The treatment of acute undisplaced fractures of the Scaphoid: A Systematic Review Kreibich Presentation 2007 Tom Symes.

Femoral medialisation and functional outcome in trochanteric hip fractures Christopher Bretherton – Core Surgical Trainee Martyn Parker – Orthopaedic Consultant.

Wrist and hand. CLASSIFICATION The injuries to be described may be classified by anatomical site as follows: Injuries of the carpus [1] Fracture of the.

Percutaneous Screw Fixation or Cast Immobilization for Nondisplaced Scaphoid Fractures by Charles D. Bond, Alexander Y. Shin, Mark T. McBride, and Khiem.

Injuries of the forearm By : Dr. sanjeev. Normal wrist joint Fig : -

Acute Fractures of the Scaphoid by J. Mi Haisman, Rachel S. Rohde, and Andrew J. Weiland J Bone Joint Surg Am Volume 88(12): December 1, 2006.

by Joseph F. Slade, Andrew P. Gutow, and William B. Geissler

Combined Dorsal and Volar Plate Fixation of Complex Fractures of the Distal Part of the Radius by David Ring, Karl Prommersberger, and Jesse B. Jupiter.

Free Vascularized Fibular Grafting For Malignant Bone and Soft Tissue Tumor: Ragiological, Clinical and Functional Outcome Kaya M, Wada T, Nagoya S, Sasaki.

Upper extremity Fx.Dx. Kamrani R Sh MD Orthopaedic surgeon Hand surgeon.

FRACTURES AND DISLOCATIONS OF HAND AND FOREARM

Normal wrist joint Fig : -.

Fractures of Distal Radius, Wrist and Hands. FRACTURES OF THE DISTAL RADIUS IN ADULTS 1- COLLES’ FRACTURE 2- SMITH’S FRACTURE 3- DISTAL FOREARM FRACTURES.

Adult Trauma: Getting Through the Night by Andrew H. Schmidt, Jeffrey Anglen, Arvind D. Nana, and Thomas F. Varecka J Bone Joint Surg Am Volume 92(2):

Percutaneous Internal Fixation of Selected Scaphoid Nonunions with an Arthroscopically Assisted Dorsal Approach by Joseph F. Slade, William B. Geissler,

Scaphoid Fractures: What’s Hot, What’s Not by William B. Geissler, Julie E. Adams, Randy R. Bindra, William D. Lanzinger, and David J. Slutsky J Bone Joint.

Dr R Shadi Ngobeni Trauma Consultant STUDENTS LECTURE.

Fractures of the wrist and hand

Aim of the Study The purpose of this study was to evaluate the functional and oncologic results of fibular medialization when used alone as a single-stage.

Non-Union of the Scaphoid. Treatment with Cannulated Screws Compared with Treatment with Herbert Screws* by THOMAS E. TRUMBLE, TODD CLARKE, and HANS J.

Locking Plates: Tips and Tricks by Wade R. Smith, Bruce H. Ziran, Jeff O. Anglen, and Philip F. Stahel J Bone Joint Surg Am Volume 89(10): October.

Colle’s Fracture.

A Thesis Presented to the Graduate School Faculty of Medicine, University of Alexandria In partial fulfilment of the requirements of the Master Degree.

Failure of proximal femoral fracture managed by proximal femoral nail (PFN) leads to a very difficult situation to handle with conventional.

Is Early Internal Fixation Preferred to Cast Treatment for Well-Reduced Unstable Distal Radial Fractures? by Karl M. Koenig, Garrett C. Davis, Margaret.

Review of ankle fusions at PCEA Kikuyu Hospital M. M Khanbhai, V. Chauhan, F. Gitonga, M. Maru.

PERIPHERAL Joint Mobilization

ABSTRACT METHODS: Cadaveric dissection of the wrist was performed. Measurements of the height and width of the proximal pole, waist and distal pole of.

DISTAL RADIUS FRACTURES. What happened??  The radius is the larger of the two bones in the forearm (the other is the ulna)  Following trauma or significant.

FRACTURES OF THE DISTAL RADIUS IN ADULTS

Scaphoid Fractures: A Comparison of Two Surgical Methods Using Either Herbert Screws or Multiple Pins for Internal Fixation By: Mohsen Mardani.

Fractures of the distal radius

Ramachandran Govidasamy Amrut Borade Ramesh Banshiwal

OPERATIVE TREATMENT FOR THE FIRST METACARPAL BASE FRACTURE OF THE HAND

Case report: 10-year scaphoid waist nonunion

Lower radius fractures

Follow up CT scan on 20 year old male with back pain

Patterns of Failure in the Distal Radius Following Treatment for AO 23-A3.2 Fractures Using Two-Column Volar Plates Deana Mercer, MD; Christina Salas,

Fractures of the radius and ulna

Forearm Fractures in Children

M Ali, D Aspros, D Clark, A Tambe

Waleed Mohamed Amrhassaen Mohammad Salah Abdelaal

Njongo W, P.K. Oroko, E.O. Oburu, Murerwa M, Maru M, Sang E, Miano P

Scaphoid fracture. A. Scaphoid fracture nonunion. B

B. Obada, Al. Serban, M. Zekra, T. Bajenescu, Crina Alecu

Conflict of interests The speaker has the following to disclose related directly or indirectly to the subject of this presentation (period: past three.

Three types of fixation displayed on three different patients

Fixation Options in Osteoporotic Bone

Lisfranc Injury and Jones Fracture in Sports

Obada B. , Serban Al. , Borgazi E. , Badauta M. , Botnaru V

Sérgio Gama Samuel Ribak Marcelo Rosa de Rezende

Case for small group discussion

Zimmer® Periarticular Locking Upper Extremity Display

Fractures of the humeral diaphysis

Fractures of the olecranon and the patella

A. 32 yo male presented for treatment of his painful left wrist 4 years after surgery for a scaphoid nonunion. Xrays showed continued nonunion, early arthritis,

Carpus Overview of the topic Upper Extremity Education taskforce

Presentation transcript:

Results of distal radius core decompression and volar percutaneous fixation in scaphoid non-unions without grafting Süleyman Semih Dedeoğlu,Yunus imren,Haluk Çabuk,Ali Çağrı Tekin,Y.Çağlar Türe,Hakan Gürbüz

Background Failure in schaphoid pseudoarthrosis: %20-30 Failure in Matti-Russe procedure: %15-20 Vascularized bone grefting Bumbasirević MZ, Nonunion--pseudoarthrosis of the scaphoid bone treated with percutaneous fixation, with compression and distraction]. Acta Chir Iugosl. 2008 Munk B, Bone grafting the scaphoid nonunion: a systematic review of 147 publications including 5,246 cases of scaphoid nonunion. Acta Orthop Scand. 2004 Hovius SE, de Jong T. Bone Grafts for Scaphoid Nonunion: An Overview. Hand Surg. 2015;20(2):222-7

Scaphoid vascularization Radıal Colon Effect of radıal core decompressıon Sherman GM. Core decompression of the distal radius for the treatment of Kienböck's disease: a biomechanical study. J Hand Surg Am. 2008 Illarramendi AA, Radius decompression for treatment of kienböck disease. Tech Hand Up Extrem Surg. 2003

Purpose We aimed to evaluate clinical, radiological, and functional outcomes of distal radial core decompression and fixation with volar percutaneous cannulated compression screws without grafting in patients with scaphoid non-union.

Pateints and Methods May 2012 - September 2014 29/32 patients(3 patients out of control) Fracture till the surgery : 75 weeks ( 28 - 86 weeks) Locaziation: Waist 21, Proximal pole 4, Distal pole 4 patients Dodds class. N Type 1 4 Type 2 16 Type 3 7 Type 4 2

Surgical Technique Volar percuteneous fixation 3.5 mm headless cannulated compression screw Dorsal incision over distal metaphysis of the radius(a window of 0.5 cm x 0.5 cm and 2 cm proximal to radius styloid was created with small osteotomes) Short arm cast(8-10 weeks)

Results Follow-up was 76 weeks (74-87 weeks). Time for union was 11 weeks (7-18 weeks) 26/29 union (89%) All non-union was seen in proximal pole fractures

Results Pre-operative Post-operative Mean SD p value VAS 7.18 1.10 2.15 2.06 0.03 Mayo-wrist score 36.25 17.27 66.25 20.93 0.02 Flexion 47.5 8.94 61.5 14.6 0.005 Extansion 45.62 8.73 61.25 15.75 0.00

Conclusions Percutaneous fixation through volar approach without bone grafting together with core decompression of distal radius is a good and easy treatment option for the surgical management of scaphoid non- unions

THANK YOU FOR YOUR ATTENTİON