Progress in the treatment of scaphoid nonunion
10.3760/cma.j.issn.1001-8050.2018.06.014
- VernacularTitle:腕舟骨骨折骨不连的治疗进展
- Author:
Xinkun HE
1
;
Hong CHEN
;
Weigang YIN
;
Xiaofeng TENG
;
Jian RUAN
Author Information
1. 宁波大学医学院研究生院
- Keywords:
Scaphoid bone;
Fractures;
ununited;
Surgical procedures;
operative
- From:
Chinese Journal of Trauma
2018;34(6):562-568
- CountryChina
- Language:Chinese
-
Abstract:
There is a high probability of scaphoid nonunion after scaphoid fracture, which can lead to wrist arthritis and further to progressive aggravation of joint function, seriously affecting daily life and work. Currently, there are a variety of treatment methods for scaphoid bone nonunion at home and abroad, and surgical treatment is the major option, which includes open surgery and arthroscopy assisted minimally invasive surgery. Different operative methods have corresponding indications and contraindications with different therapeutic effects. Arthroscopic assisted technique is novel, minimally invasive, and reliable. This article reviews the treatment methods of scaphoid nonunion, including screw internal fixation, non vascularized bone graft, vascularized bone graft, anastomotic vascularized bone graft, bone block resection, arthrodesis, and arthroscopic minimally invasive surgery, so as to provide references for clinical treatment of scaphoid nonunion.
