PDF(Pubmed)
Abstract：
UNASSIGNED: This study reports the clinical outcomes of double-screw fixation with bone grafting for displaced scaphoid nonunions.
UNASSIGNED: This study was a retrospective survey. From January 2018 to December 2019, 21 patients with displaced scaphoid fractures underwent open debridement and two headless compression screw fixation with bone grafting. The preoperative and postoperative lateral intrascaphoid angle (LISA) and scapholunate angle (SLA) were recorded. Preoperative and postoperative grip strength (% of the healthy side), active range of motion (AROM), visual analogue scale (VAS), and patient-rated wrist evaluation (PRWE) scores at the final follow-up were obtained for all patients for comparison.
UNASSIGNED: Patients were treated for an average of 38.3 months (range 12-250) after the injury. The average time of postoperative follow-up was 30.5 months (range 24-48). All fractures achieved union at a mean of 2.7 months (range 2-4) after surgery, and 14 scaphoids of 21 patients (66.7%) healed by 8 weeks. CT scans showed no evidence of cortical penetration of either screw in all patients. There was a statistically significant improvement in AROM, grip strength, and PRWE. No complications occurred in this study, and all patients returned to work.
UNASSIGNED: This study indicates that double-screw fixation with bone grafting is an effective technique for treating displaced scaphoid nonunions.
UNASSIGNED: This study was a retrospective survey. From January 2018 to December 2019, 21 patients with displaced scaphoid fractures underwent open debridement and two headless compression screw fixation with bone grafting. The preoperative and postoperative lateral intrascaphoid angle (LISA) and scapholunate angle (SLA) were recorded. Preoperative and postoperative grip strength (% of the healthy side), active range of motion (AROM), visual analogue scale (VAS), and patient-rated wrist evaluation (PRWE) scores at the final follow-up were obtained for all patients for comparison.
UNASSIGNED: Patients were treated for an average of 38.3 months (range 12-250) after the injury. The average time of postoperative follow-up was 30.5 months (range 24-48). All fractures achieved union at a mean of 2.7 months (range 2-4) after surgery, and 14 scaphoids of 21 patients (66.7%) healed by 8 weeks. CT scans showed no evidence of cortical penetration of either screw in all patients. There was a statistically significant improvement in AROM, grip strength, and PRWE. No complications occurred in this study, and all patients returned to work.
UNASSIGNED: This study indicates that double-screw fixation with bone grafting is an effective technique for treating displaced scaphoid nonunions.
摘要：
UNASSIGNED：本研究报告了双螺钉内固定结合植骨治疗移位舟骨骨不连的临床结果。
未经评估：本研究为回顾性调查。2018年1月至2019年12月，对21例移位的舟骨骨折患者行开放清创术和2枚无头加压螺钉固定植骨。记录术前、术后肩胛骨外侧角(LISA)和肩胛骨外侧角(SLA)。术前和术后握力（健康侧的百分比），活动范围（AROM），视觉模拟量表（VAS），并在最终随访时获得所有患者的患者评分腕关节评估(PRWE)评分进行比较.
UNASSIGNED：患者在受伤后平均治疗38.3个月（范围12-250）。术后随访24～48个月,平均30.5个月。所有骨折在手术后平均2.7个月（范围2-4）实现愈合，21例(66.7%)患者14个舟骨愈合8周。CT扫描未显示所有患者中任一螺钉的皮质穿透。AROM有统计学上的显着改善，握力,和PRWE。本研究无并发症发生,所有病人都恢复了工作。
UNASSIGNED：这项研究表明，带植骨的双螺钉固定是治疗移位的舟骨骨不连的有效技术。
未经评估：本研究为回顾性调查。2018年1月至2019年12月，对21例移位的舟骨骨折患者行开放清创术和2枚无头加压螺钉固定植骨。记录术前、术后肩胛骨外侧角(LISA)和肩胛骨外侧角(SLA)。术前和术后握力（健康侧的百分比），活动范围（AROM），视觉模拟量表（VAS），并在最终随访时获得所有患者的患者评分腕关节评估(PRWE)评分进行比较.
UNASSIGNED：患者在受伤后平均治疗38.3个月（范围12-250）。术后随访24～48个月,平均30.5个月。所有骨折在手术后平均2.7个月（范围2-4）实现愈合，21例(66.7%)患者14个舟骨愈合8周。CT扫描未显示所有患者中任一螺钉的皮质穿透。AROM有统计学上的显着改善，握力,和PRWE。本研究无并发症发生,所有病人都恢复了工作。
UNASSIGNED：这项研究表明，带植骨的双螺钉固定是治疗移位的舟骨骨不连的有效技术。
