[Long-term results of surgically treated scaphoid bone pseudarthrosis]

204 cases of pseudarthrosis of the scaphoid bone have been treated by several operation methods. Reviewing our patients after an average time of 6 years we are able to estimate the results. The Matti-Russe method was the most frequent operative procedure causing good and excellent results. Concerning to the worse blood circulation of the proximale fragment most problems came from the treatment of the necrotic proximale fragment. Using several methods of operation only the early results (up to 3 years) were satisfactory. Within the following years collapsing of the spacers or dislocation of the silicone-implants appeared and loss of function and pain followed. We thought that it is indispensable to find new surgery methods to treat the problematic cases of necrotic proximal fragments by using bone graftings, so that the late results also will be successful.