THE COMPARISON OF THE TIME OF UNION IN SIMPLE NON-UNION OF SCAPHOID, TREATED WITH TRADITIONAL & VASCULARIZED BONE GRAFTS

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SHAHRIAR KAMRANI R.; MORTAZAVI M.J.; ABBAS ZADEH M.R.

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Journal: TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ) Year:2005 | Volume:63 | Issue:8 Page(s): 674-678

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Title

THE COMPARISON OF THE TIME OF UNION IN SIMPLE NON-UNION OF SCAPHOID, TREATED WITH TRADITIONAL & VASCULARIZED BONE GRAFTS

Author(s)

SHAHRIAR KAMRANI R. | MORTAZAVI M.J. | ABBAS ZADEH M.R. | Issue Writer Certificate

Keywords

SCAPHOID NONUNIONQ4

CONVENTIONAL BONE GRAFTQ4

VASCULARIZED BONE GRAFTQ4

Abstract

Background Scaphoid non-union without carpal instability or avascular necrosis can be treated successfully with traditional bone graft technique. In difficult cases especially in cases with avascular necrosis, VASCULARIZED BONE GRAFT techniques have been developed. Some authors recommend VASCULARIZED BONE GRAFT in treatment of simple scaphoid non-unions to decrease the time of union. We compared the time of union in simple non-union of scaphoid, treated with traditional & VASCULARIZED BONE GRAFTs.Materials and methods: In a randomized controlled trial study we treated 23 patients with scaphoid non-union without collapse or instability and without avascular necrosis on plain radiography, either with traditional iliac crest or Zaidemberg VASCULARIZED BONE GRAFT. The union time was evaluated by plain radiography. Operation time and complications were determined. The patients were followed until union.Results:10 patients in group A were treated with VASCULARIZED BONE GRAFT, and 13 patients in group B were treated with traditional iliac crest bone graft. All scaphoids were fixed internally with pins. Mean age was 25.9 year in group A and 26.69 year in group B. Union was achieved in all patients. Union time was 10.80(+/-1.39) weeks in group A and 12.38(+/-1.6) weeks in group B. The difference between union times in two groups was statistically significant (p=0.022), but clininically unimportant. Operation time was 99(+/-11.97) minutes in group A and 51.92(+/- 7.51) minutes in group B. In group A we had four cases with superficial radial nerve paresthesia. Because of short duration of follow up we did not evaluate wrist range of motion or grip force. Conclusion: We recommend to continue traditional techniques in non-complex scaphoid non-unions.

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APA: Copy

SHAHRIAR KAMRANI, R., MORTAZAVI, M.J., & ABBAS ZADEH, M.R.. (2005). THE COMPARISON OF THE TIME OF UNION IN SIMPLE NON-UNION OF SCAPHOID, TREATED WITH TRADITIONAL & VASCULARIZED BONE GRAFTS. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 63(8), 674-678. SID. https://sid.ir/paper/38999/en

Vancouver: Copy

SHAHRIAR KAMRANI R., MORTAZAVI M.J., ABBAS ZADEH M.R.. THE COMPARISON OF THE TIME OF UNION IN SIMPLE NON-UNION OF SCAPHOID, TREATED WITH TRADITIONAL & VASCULARIZED BONE GRAFTS. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2005;63(8):674-678. Available from: https://sid.ir/paper/38999/en

IEEE: Copy

R. SHAHRIAR KAMRANI, M.J. MORTAZAVI, and M.R. ABBAS ZADEH, “THE COMPARISON OF THE TIME OF UNION IN SIMPLE NON-UNION OF SCAPHOID, TREATED WITH TRADITIONAL & VASCULARIZED BONE GRAFTS,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 63, no. 8, pp. 674–678, 2005, [Online]. Available: https://sid.ir/paper/38999/en

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