TREATMENT OF SCHAPHOID NONUNION WITH VOLAR LOCKED PLATE
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Citações na Scopus
9
Tipo de produção
article
Data de publicação
2019
Título da Revista
ISSN da Revista
Título do Volume
Editora
ATHA COMUNICACAO & EDITORA
Citação
ACTA ORTOPEDICA BRASILEIRA, v.27, n.3, p.141-145, 2019
Resumo
Objective: To assess and compare radiographic, tomographic and functional pre and postoperative parameters of patients submitted to treatment of nonunion of the scaphoid waist with locked plate for scaphoid. Methods: This is a case series of scaphoid waist nonunion, operated from March 2017 to March 2018 at the Institute of Orthopedics and Traumatology of HCFMUSP, using the technique of Fisk-Fernandez and osteosynthesis with locked plate for scaphoid APTUS (R) Hand from Medartis. The patients were submitted to radiographs, computed tomography and functional evaluation by the occupational therapy team in the pre and postoperative periods. Results: There was consolidation of the scaphoid waist nonunion in all cases, improvement in the parameters of carpal alignment in the imaging examinations, but functionally we observed reduction of the range of motion and grip strength in relation to the contralateral limb. Conclusions: The treatment of the scaphoid waist nonunion with locked plate was effective, with a high index of consolidation and improvement of the carpal alignment in the imaging tests, although with a reduction in the range of motion and grip strength in relation to the contralateral limb when evaluated with 12 weeks postoperatively.
Palavras-chave
Pseudarthrosis/surgery, Scaphoid bone/injuries, Scaphdd bone/surgery, Fracture fixation,internal, Bone plates
Referências
- Barton NJ, 1997, J HAND SURG-BRIT EUR, V22B, P153, DOI 10.1016/S0266-7681(97)80051-4
- BUNKER TD, 1987, J BONE JOINT SURG BR, V69, P631
- Daly K, 1996, J BONE JOINT SURG BR, V78B, P530
- Dodds SD, 2016, J HAND SURG-AM, V41, pE191, DOI 10.1016/j.jhsa.2016.04.021
- Esteban-Feliu I, 2018, J HAND SURG-AM, V43, DOI 10.1016/j.jhsa.2017.12.004
- FERNANDEZ DL, 1990, J HAND SURG-AM, V15A, P140, DOI 10.1016/S0363-5023(09)91122-4
- FORD DJ, 1987, J BONE JOINT SURG BR, V69, P124
- Ghoneim A, 2011, J HAND SURG-AM, V36A, P17, DOI 10.1016/j.jhsa.2010.10.003
- HERBERT TJ, 1984, J BONE JOINT SURG BR, V66, P114
- Jurkowitsch J, 2016, ARCH ORTHOP TRAUM SU, V136, P1623, DOI 10.1007/s00402-016-2556-z
- Leixnering M, 2011, J TRAUMA, V71, P933, DOI 10.1097/TA.0b013e3181f65721
- LEYSHON A, 1984, J BONE JOINT SURG BR, V66, P124
- MANSKE PR, 1988, ORTHOPEDICS, V11, P1653
- NAKAMURA R, 1993, J HAND SURG-BRIT EUR, V18B, P219, DOI 10.1016/0266-7681(93)90114-U
- PRING DJ, 1987, J HAND SURG-BRIT EUR, V12B, P46, DOI 10.1016/0266-7681(87)90054-4
- RADFORD PJ, 1990, J HAND SURG-BRIT EUR, V15B, P455, DOI 10.1016/0266-7681(90)90089-M
- Schatzker J, 1991, MANUAL INTERNAL FIXA, p[200, 208]
- Tomaino MM, 2000, J HAND SURG-AM, V25A, P322, DOI 10.1053/jhsu.2000.jhsu25a0322
- Tu YK, 2008, INJURY, V39, pS96, DOI 10.1016/j.injury.2008.08.035
- Wolfe SW, 2017, GREENS OPERATIVE HAN