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Treatment of Pseudo-arthrosis of the Scaphoid: Comparative Study Between Vascularized and Non-vascularized Dorsal Bone Graft of the Distal Radius

机译:治疗静脉曲张的伪关节:远端半径血管化和非血管化背骨移植物的比较研究

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摘要

Fractures of the scaphoid may cause serious functional alterations and sequelae in the wrist when they do not consolidate. As can be seen in the literature, the various treatment methods still remain polemical (1). The highest failure rates relate to fractures of proximal poles or to vascular necrosis in the proximal fragment. There are no comparative studies in the literature between vascularized and non-vascularized graft techniques using material taken from the dorsal region of the distal radius. In the present study, our objective was to evaluate the clinical and radiographic characteristics of patients with pseudo-arthrosis of the scaphoid, comparing application of the technique of vascularized bone graft of the distal radius that was recommended by Zaidemberg et al with conventional non-vascularized bone graft in the same region, and defining the best procedure regarding bone consolidation and reestablishment of the joint function.
机译:当它们不合并时,散热器的骨折可能导致手腕中的严重功能改变和后遗症。如在文献中可以看出,各种治疗方法仍然存在普遍(1)。最高的故障率涉及近端杆的裂缝或近端片段中的血管坏死。使用从远端半径的背部区域取出的材料之间的血管化和非血管化移植技术之间的文献中没有比较研究。在本研究中,我们的目的是评估Sousphoid的伪关节患者的临床和放射照相特征,比较Zaidemang等人与常规非血管化的远端半径的血管化骨移植技术的应用在同一区域中的骨移植,并定义关于骨巩固和联合功能的重建的最佳过程。

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