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European Journal of Orthopaedic Surgery & Traumatology
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology 1/2017

28.11.2016 | Original Article • WRIST - TRAUMA

Prognostic factors in the treatment of carpal scaphoid non-unions

verfasst von: F. Schuind, F. Moungondo, W. El Kazzi

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 1/2017

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Abstract

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.
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Metadaten
Titel
Prognostic factors in the treatment of carpal scaphoid non-unions
verfasst von
F. Schuind
F. Moungondo
W. El Kazzi
Publikationsdatum
28.11.2016
Verlag
Springer Paris
Erschienen in
European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 1/2017
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-016-1886-4

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