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

Proximal scaphoid costo-osteochondral replacement arthroplasty

M J Sandow1

  • 1Department of Orthopaedics and Trauma, Royal Adelaide Hospital and Wakefield Orthopaedic Clinic, South Australia, Australia.

Journal of Hand Surgery (Edinburgh, Scotland)
|June 2, 1998
PubMed
Summary
This summary is machine-generated.

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

Unifying model of carpal mechanics based on computationally derived isometric constraints and rules-based motion - the stable central column theory.

The Journal of hand surgery, European volume·2013
Same author

Active mobilisation following single cross grasp four-strand flexor tenorrhaphy (Adelaide repair).

The Journal of hand surgery, European volume·2011
Same author

Flexor tenorrhaphy tensile strength: reduction by cyclic loading: in vitro and ex vivo porcine study.

Hand (New York, N.Y.)·2008
Same author

Costo-osteochondral grafts in the wrist.

Techniques in hand & upper extremity surgery·2006
Same author

Suprascapular nerve rotator cuff compression syndrome in volleyball players.

Journal of shoulder and elbow surgery·1998
Same author

A further tendon retrieval trick.

Journal of hand surgery (Edinburgh, Scotland)·1997
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

Costo-osteochondral autografts effectively treat scaphoid bone defects, restoring wrist function and motion. This surgical technique improved grip strength and reduced pain in patients with scaphoid deficiencies.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Regenerative Medicine

Background:

  • Scaphoid bone deficiencies, often from fracture or necrosis, impair wrist function.
  • Current treatments may have significant complications.
  • Restoring the proximal pole's mechanical integrity is crucial for wrist stability.

Purpose of the Study:

  • To evaluate the efficacy of costo-osteochondral autografts for treating proximal scaphoid pole deficiency.
  • To assess functional outcomes, pain reduction, and carpal alignment post-procedure.

Main Methods:

  • Prospective study of 22 patients undergoing costo-osteochondral replacement arthroplasty.
  • Utilized autografts from rib bone and cartilage.
  • Median follow-up of 24 months (range, 12-72 months).

Related Experiment Videos

Main Results:

  • All patients demonstrated improved wrist function, including increased motion, grip strength, and reduced pain.
  • Average modified Green and O'Brien Wrist Function Score improved from 53 to 80.
  • Most patients improved from fair/poor to good/excellent functional grades.
  • No graft non-unions or significant complications observed; carpal alignment was maintained.

Conclusions:

  • Costo-osteochondral autografts provide a satisfactory solution for proximal scaphoid pole reconstruction.
  • This technique restores mechanical integrity and maintains wrist motion effectively.
  • It offers a viable alternative with fewer complications than other arthroplasty methods.