Journal of Research in Orthopedic Science، جلد ۸، شماره ۳، صفحات ۱۵۷-۱۶۲

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عنوان انگلیسی Evaluation of Carpal Malalignment Before and After Interpositional Bone Grafting for Treating Scaphoid Non:union:
چکیده انگلیسی مقاله Background: Carpal malalignment following the treatment of scaphoid non:union: increases the risk of Dorsal Intercalated Segment Instability (DISI) and progressive radiocarpal arthrosis.  Objectives: In this study, we aimed to investigate the outcome of interpositional bone grafting without preplanning to correct carpal malalignment in treating scaphoid non:union:.  Methods: Patients and Methods: In a retrospective study, 96 patients who underwent surgery to treat scaphoid non:union: (interpositional bone grafting without correction of carpal malalignment) were included. Indices of carpal malalignment, including the lunocapitate and scapholunate angles, were assessed before and one year after the surgery. A lunocapitate angle of more than15º and a scapholunate angle of more than 60º were considered a sign of DISI. Results: The study population included 93 men (96.9%) and three women (3.1%) with a Mean±SD age of 26.1±3.1 years. The mean±SD time from fracture to non:union: surgery was 8.6±4.2 months. The Mean±SD lunocapitate angle was 15.2±13.1º before and 14.4±11º one year after the surgery (P=0.48). The Mean±SD scapholunate angle was 63.9±15.2º before and 64.5±14.6º after the surgery (P=0.69). DISI was present in 67 patients (69.8%) before and 66 (68.8%) after the surgery. This difference was not statistically significant, too (P=0.89). Conclusion: Correction of carpal malalignment should be preoperatively planned to treat scaphoid non:union: to reduce the risk of postoperative DISI and subsequent radiocarpal arthrosis.
کلیدواژه‌های انگلیسی مقاله Scaphoid, Fracture, Carpal bones, Bone malalignmen

نویسندگان مقاله | Hooman Shariatzadeh
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.


| Farhad Soltani
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.


| Mohsen Barkam
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.


| Ali Dehghan Marvast
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.



نشانی اینترنتی http://jros.iums.ac.ir/browse.php?a_code=A-10-785-1&slc_lang=en&sid=1
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