Property | Value |
Name | Non-union of the scaphoid fractures treated with Kirschner (K) wires and bone grafting |
Description | Original article:- Orthopaedics Abhijeet Shroff1,Subhash R. Puri2,Samar K.Biswas(Col.)3,Anil Salgia4, D. S. Bhamare5 & Harshit Mehta6*. 1Assistant Professor, 2Professor, 3Professor and Head, 4Professor, 5Associate Professor,6Resident, Department of Orthopaedics, Dr. D. Y. Patil Medical College, Pimpri, Pune,India.
Abstract:- Background: The scaphoid is the most frequently fractured carpal bone. These fractures are commonly difficult to diagnose or go undetected. Degenerative changes set in if scaphoid fracture non-union is left untreated. This study evaluates the outcome of scaphoid non-union treated with K wires and bone grafting. Materials and Methods: 28 cases of established non union treated from January 2007 to January 2012 with iliac crest bone grafting and k-wire fixation were selected. Scaphoid non union was both clinically and radio graphically diagnosed .fractures were graded according to herbert’s classification. The data of this study was obtained from medical records of study subjects from Padmashree Dr.D.Y.Patil Medical College, Hospital and Research Centre, Pune, India. Results: 28 patients could be followed up. There were no intra op complications. One(1) patient developed post operative infection. The study contained 27(96%)male and 1(4%) female subjects. The average age was 29.6 years. Dominant wrist was affected in 26 patients, and non-dominant was affected in 2. Most of the patients showed evidence of radiological union between 14 to 16 weeks. Range from 12 to 23 weeks and an average of 16.40 weeks. Most of the patients 19 (67%) recovered 80% or more of grip strength. Conclusion: Our findings suggest that1) Scaphoid non-union treated with Kirschner-wire fixation and iliac crest bone grafting presents a 90% healing rate at 6 months follow up.2) Scaphoid non-union treatment with Kirschner-wire fixation and iliac crest bone grafting significantly decreases pain and achieves 84% wrist joint motion compared to opposite side.3) Scaphoid bone non-union treatment Kirschner-wire fixation and iliac crest bone grafting yields 75% of satisfactorily functional results.4) Average time for radiological union is 16.40% weeks.
Keywords:- Scaphoid non-union, Kirschner-wire fixation, iliac crest bone grafting.
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Copyright© 2013 Mehta Harshit et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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