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[Our experience in the treatment of pseudarthrosis of the carpal schaphoid bone]
Abstract:
The present paper reports on 20 cases of old fractures and pseudoarthrosis of the carpal scaphoid operated in the Clinic of Ortopaedics and Traumatology of the "Brîncovenesc" Hospital and followed up over an 8 year period (1965--1972). The treatment, exclusively surgical, consisted in: osteosynthesis with corticospongious graft, combined with styloidectomy (9 cases); excision of the necrosed fragment and styloidectomy (7 cases); and one case each of osteosynthesis with aid of a screw, simple styloidectomy, explorative arthrotomy and arthrodesis of the wrist. The best result were obtained after osteosynthesis with styloidectomy, performed for various forms of pseudoarthrosis with moderate ischemia, and after partial scaphoidectomy for necrosis with a small proximal fragment.