Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Experience with scaphoid grafting

N J Barton1

  • 1Department of Hand Surgery, Queen's Medical Centre, Nottingham, UK.

Journal of Hand Surgery (Edinburgh, Scotland)
|April 1, 1997
PubMed
Summary
This summary is machine-generated.

This study compared five bone-grafting techniques for ununited scaphoid fractures over 24 years. The "wedge" graft with Herbert screw yielded the best radiological union rates, though clinical outcomes varied.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Joseph Swan (1791-1874): pioneer of research on peripheral nerves.

The Journal of hand surgery, European volume·2008
Same author

Bilateral vagotomy or atropine pre-treatment reduces experimental diesel-soot induced lung inflammation.

Toxicology and applied pharmacology·2007
Same author

Attenuation of experimental arthritis in TRPV1R knockout mice.

Experimental and molecular pathology·2006
Same author

Use of a hand plaster for fractures of the shaft of the fifth metacarpal.

Journal of hand surgery (Edinburgh, Scotland)·2004
Same author

The late consequences of scaphoid fractures.

The Journal of bone and joint surgery. British volume·2004
Same author

Incidence of osteoarthritis in the scapho-trapezial joint after Herbert screw fixation of the scaphoid.

Journal of hand surgery (Edinburgh, Scotland)·2003
Same journal

Dorsal (AO/ASIF) pi-plate osteosynthesis in the treatment of distal intraarticular radius fractures.

Journal of hand surgery (Edinburgh, Scotland)·2006
Same journal

Brachial plexus injury in snowboarding.

Journal of hand surgery (Edinburgh, Scotland)·2006
Same journal

Septic arthritis of the small joints of the hand.

Journal of hand surgery (Edinburgh, Scotland)·2006
Same journal

Problematic bone fixation with pyrocarbon implants in proximal interphalangeal joint replacement: short-term results.

Journal of hand surgery (Edinburgh, Scotland)·2006
Same journal

A leiomyoma arising from the deep palmar arterial arch.

Journal of hand surgery (Edinburgh, Scotland)·2006
Same journal

Local anaesthesia for carpal tunnel decompression: a comparison of two techniques.

Journal of hand surgery (Edinburgh, Scotland)·2006
See all related articles

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Bone Grafting Techniques

Background:

  • Ununited scaphoid fractures pose a significant challenge in hand surgery.
  • Nonunion of the scaphoid bone can lead to chronic pain and dysfunction.
  • Various bone-grafting methods have been developed to address scaphoid nonunion.

Purpose of the Study:

  • To evaluate and compare the clinical and radiological outcomes of five different bone-grafting techniques for ununited scaphoid fractures.
  • To determine the most effective bone-grafting method for achieving bony union and pain relief.
  • To assess the correlation between radiological union and clinical symptom improvement.

Main Methods:

  • A retrospective review of 24 years of surgical cases involving ununited scaphoid fractures.

Related Experiment Videos

  • Comparison of five distinct bone-grafting techniques, including the original Russe operation, modified Russe graft, and "wedge" graft with Herbert screw.
  • Minimum follow-up period of 1 year for all patients to assess clinical and radiological results.

    • Main Results:

    • The "wedge" graft combined with a Herbert screw demonstrated the highest rate of definite radiological union at 78%.
    • The original Russe operation showed the poorest radiological results.
    • Clinical outcomes, particularly pain reduction, did not always correlate with radiological union; modified Russe grafts were most effective for pain relief.
    • For proximal pole fractures, bony union was achieved in 54% of cases, with consistent symptom improvement.

    Conclusions:

    • The "wedge" graft and Herbert screw technique is superior for achieving radiological union in ununited scaphoid fractures.
    • Clinical improvement, especially pain reduction, can be achieved with various methods, but may not directly correlate with radiographic evidence of union.
    • The modified Russe graft appears to be particularly effective in alleviating pain, even when bony union is not fully achieved.