Pseudoartrosis de escafoides carpiano tratadas mediante la técnica de Matti-Russeestudio retrospectivo de 36 casos

1. P. HERNÁNDEZ CORTÉS ¹
2. J. MORALES MOLINA ¹
3. R. ANTELO LORENZO ¹
4. M. A. HERNÁNDEZ HERNÁNDEZ ¹
5. F. ACOSTA GONZÁLEZ ¹

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More publications in: Revista española de cirugía osteoarticular

Abstract

We reported a retrospective study of 36 patients with a pseudoarthrosis of the carpal scaphoid bone treated by the Matti-Russe operation from 1985 to 1991. We used radial (50%), iliac (42%) or ulnar (8%) autogenous grafts without any difference in the rate of incorporation. The rate of healing of the pseudoarthrosis was higher in mid and distal location (80%) than in proximal location (54%). In 80% of cases, healing failures in the mid and distal location occurred in old pseudoarthrosis ( >3 0 months evolution). Carpal degenerative changes were significantly higher (p < 0,01) in patients with not healed pseudoarthrosis. The location and the age of the pseudoarthrosis appear to be important prognostic factors. The Matti-Russe technique has limitations when is performed either in proximal pseudoarthrosis or in the presence of advanced radiocarpal osteoarthritis.

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