PRONATOR QUADRATUS PEDICLE BONE GRAFT IN SCAPHOLD FRACTURE NON-UNION

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SADRI E.; MAZLOUMI S.M.; OMIDI KASHANI F.

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Paper Information

Journal: IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY Year:2005 | Volume:4 | Issue:1 (13) Page(s): 81-85

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Information Journal Paper

Title

PRONATOR QUADRATUS PEDICLE BONE GRAFT IN SCAPHOLD FRACTURE NON-UNION

Author(s)

SADRI E. | MAZLOUMI S.M. | OMIDI KASHANI F. | Issue Writer Certificate

Keywords

SCAPHOID BONEQ4

FRACTURESQ4

UNUNITEDQ3

BONE TRANSPLANTATIONQ3

Abstract

Background: Scaphoid is the most common carpal bone to fracture, and non-union is the most common complication of scaphoid fracture. The vascularized bone grafting, based on pronator quadratus muscle for scaphoid non-union is an option for a more successful union. We would like to report our experience. Methods: In a descriptive study between 2003 and 2004, 11 patients with scaphoid nonunion were operated on with pronator quadratus vascularized bone graft. The mean age of the patients was 22.9 years (18-29) and the duration of non-union was 12.2 months (6-24). The patients were evaluated clinically and radiographically after 6 months. Results: Union was achieved in 10 out of 11 patients. The mean time to union was 12 weeks. The mean pain score in the patients with union was 3.8 before and 1 after surgery. Seven patients had no activity related pain and 3 others experienced minimal exertional pain. There was no instance of fixation failure or substantial loss of reduction. The mean final range of motion of the wrist was 19° extension, 15° flexion, 5° radial deviation and 10° ulnar deviation. Final assessment of pain relief, improved motion and increased wrist function was excellent in 5 patients, good in 3 and fair in 2 patients.Conclusions: Pronator quadratus vascularized bone graft is an effective method for treatment of scaphoid nonunion, leading to rapid union and good wrist function, although it is a bigger surgery and takes longer to perform.

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APA: Copy

SADRI, E., MAZLOUMI, S.M., & OMIDI KASHANI, F.. (2005). PRONATOR QUADRATUS PEDICLE BONE GRAFT IN SCAPHOLD FRACTURE NON-UNION. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, 4(1 (13)), 81-85. SID. https://sid.ir/paper/85405/en

Vancouver: Copy

SADRI E., MAZLOUMI S.M., OMIDI KASHANI F.. PRONATOR QUADRATUS PEDICLE BONE GRAFT IN SCAPHOLD FRACTURE NON-UNION. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY[Internet]. 2005;4(1 (13)):81-85. Available from: https://sid.ir/paper/85405/en

IEEE: Copy

E. SADRI, S.M. MAZLOUMI, and F. OMIDI KASHANI, “PRONATOR QUADRATUS PEDICLE BONE GRAFT IN SCAPHOLD FRACTURE NON-UNION,” IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, vol. 4, no. 1 (13), pp. 81–85, 2005, [Online]. Available: https://sid.ir/paper/85405/en

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