15. TREATMENT OF SCAPHOID NONUNION ADVANCED COLLAPSE BY SCAPHOID EXCISION AND FOUR-CORNER FUSION: REPORT OF TWO CASES
Main Article Content
Abstract
Background: Scaphoid fractures are common in the wrist, but difficulty from soon diagnosis because of the particular geometry of the fractures and the tenuous vascular pattern of them. Delays in diagnosis and inadequate treatment for acute scaphoid fractures can lead to nonunion and subsequent degenerative wrist arthritis. Scaphoid nonunion is defined as a non-healed 6 months after injury. Four-corner fusion with excision of the scaphoid is an accepted procedure for treating scaphoid nonunion advanced collapse (SNAC).
Method: Cases study. In Department of Orthopedics, Thong Nhat Dong Nai Hospital, we presented 02 cases scaphoid nonunion, which treated four-corner fusion with excision of the scaphoid using headless compression screw (Herbert crew).
Result: 02 cases had good range of motion (ROM) and no pain.
Conclusion: Four-corner with excision of the scaphoid is the good method to treat scaphoid nonuion.
Article Details
Keywords
Four-corner fusion, scaphoid nonunion advanced collapse (SNAC).
References
Tân & cs, Nhân 3 trường hợp điều trị khớp giả
xương thuyền tiến triển sập lún (snac) bằng
phương pháp lấy bỏ xương thuyền, hàn 4 xương
góc cổ tay, Tạp chí Y Dược Thực hành 175. 19,
2019, p. 108.
[2] D, Lauren A and Seth, Assessment of scaphoid
fracture healing, Curr Rev Musculoskelet Med.
4, 2011, pp. 16-22.
[3] Fathy HS, Mohamed AH, Moataz MM, Scaphoid
excision and four corner fusion in treatment of
scaphoid nonunion advanced collapse, Al-Azhar
Assiut Medical Journal. 13, 2015, pp. 121-128.
[4] KLSMartinGroup, FlowerPlate by KLS Martin –
Four corner fusion, p. https://www.youtube.com/
watch?v=TiQXDs8Vwhk, 2017.
[5] Melissa K, Diego F, Scaphocapitolunate
arthrodesis and radial styloidectomy: a treatment
option for posttraumatic degenerative wrist
disease, J Wrist Surg. 1, 2012, pp. 115-22.
[6] Steinmann SP, Adams JE, Scaphoid fractures
and nonunions: diagnosis and treatment, J Orthop
Sci. 11(4), 2006, pp. 424-31.