Comparative analysis of cancellous graft and cortico-cancellous graft in osteosynthesis of scaphoid pseudoarthrosis with plate

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art_WATAYA_Comparative_analysis_of_cancellous_graft_and_corticocancellous_graft_2023.PDF (971.63 KB)
Citações na Scopus
1
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER
Autores
NAKAMOTO, Joao Carlos
Citação
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, v.143, n.11, p.6955-6963, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
IntroductionScaphoid is the most fractured carpal bone, with a 5-10% nonunion rate. Treatment challenges include choosing the implant and graft that best corrects humpback deformity and carpal malalignment with higher chances of bony healing.ObjectiveCompare cortico-cancellous and cancellous grafts between two groups of patients treating scaphoid nonunion with locking plates using autologous bone graft and evaluate bone healing rates and radiographic, tomographic, and functional parameters before and after surgery.MethodsNon-randomized prospective study including 20 cases of scaphoid nonunion. Groups were divided into Group A (ten patients treated with cortico-cancellous iliac graft) and Group B (ten patients treated with cancellous iliac graft). Patients underwent pre- and postoperative radiographs, computed tomography, and functional evaluation.ResultsIn postoperative analysis, Group A showed a statistically significant difference in intrascaphoid angle (p = 0.002) and scapholunate angle (p = 0.011) correction when comparing the pre- and postoperative periods. Group B showed a statistically significant difference in intrascaphoid angle (p = 0.002) and scapholunate angle correction (p = 0.0018), grip strength (p = 0.002), and tip pinch strength (p = 0.001) when comparing the pre- and postoperative periods. By comparing both groups, Group B showed a statistically significant difference in intrascaphoid angle correction (p = 0.002), grip strength (p = 0.002), tip pinch strength (p = 0.002), and radial deviation (p = 0.0003). There was no statistical difference when comparing bony healing between groups.ConclusionScaphoid nonunion treatment with a locking plate was effective, showing a high bony healing rate and improved carpal alignment in imaging tests for both graft types. However, results for intrascaphoid angle correction, grip strength, tip pinch strength, and radial deviation were better in Group B.
Palavras-chave
Fractures, ununited, Plate osteosynthesis, Iliac graft, Autologous graft, Cortico-cancellous graft, Cancellous graft, Scaphoid injuries, Scaphoid surgery
URI
https://observatorio.fm.usp.br/handle/OPI/57480
Referências
  1. ALNOT JY, 1988, REV CHIR ORTHOP, V74, P700
  2. Alshryda S, 2012, SURG-J R COLL SURG E, V10, P218, DOI 10.1016/j.surge.2012.03.004
  3. AMADIO PC, 1989, J HAND SURG-AM, V14A, P679, DOI 10.1016/0363-5023(89)90191-3
  4. Ansari SA, 2020, J WRIST SURG, V09, P304, DOI 10.1055/s-0040-1710383
  5. Beaton DE, 2001, J RHEUMATOL, V28, P400
  6. BURGESS RC, 1987, J HAND SURG-AM, V12A, P774, DOI 10.1016/S0363-5023(87)80067-9
  7. Capito AE, 2013, J HAND SURG-AM, V38A, P2419, DOI 10.1016/j.jhsa.2013.09.035
  8. Cohen MS, 2013, J HAND SURG-AM, V38A, P701, DOI 10.1016/j.jhsa.2012.12.030
  9. Dias J, 2020, HEALTH TECHNOL ASSES, V24, P1, DOI 10.3310/hta24520
  10. Dodds SD, 2018, J HAND SURG-EUR VOL, V43, P57, DOI 10.1177/1753193417743636
  11. Dodds SD, 2016, J HAND SURG-AM, V41, pE191, DOI 10.1016/j.jhsa.2016.04.021
  12. Duckworth AD, 2012, J TRAUMA ACUTE CARE, V72, pE41, DOI 10.1097/TA.0b013e31822458e8
  13. Eng K, 2020, J WRIST SURG, V9, P225, DOI 10.1055/s-0040-1702199
  14. FERNANDEZ DL, 1990, J HAND SURG-AM, V15A, P140, DOI 10.1016/S0363-5023(09)91122-4
  15. Ghoneim A, 2011, J HAND SURG-AM, V36A, P17, DOI 10.1016/j.jhsa.2010.10.003
  16. Goodwin J, 2018, J WRIST SURG, V7, P77, DOI 10.1055/s-0037-1606123
  17. Goodwin Jill A, 2019, Hand (N Y), V14, P203, DOI 10.1177/1558944717732065
  18. Hove LM, 1999, SCAND J PLAST RECONS, V33, P423, DOI 10.1080/02844319950159145
  19. Jurkowitsch J, 2016, ARCH ORTHOP TRAUM SU, V136, P1623, DOI 10.1007/s00402-016-2556-z
  20. Khan SN, 2005, J AM ACAD ORTHOP SUR, V13, P77, DOI 10.5435/00124635-200501000-00010
  21. Kim JK, 2018, ORTHOP TRAUMATOL-SUR, V104, P115, DOI 10.1016/j.otsr.2017.11.011
  22. Leixnering M, 2011, J TRAUMA, V71, P933, DOI 10.1097/TA.0b013e3181f65721
  23. Mathoulin CL, 2018, J HAND SURG-EUR VOL, V43, P13, DOI 10.1177/1753193417739526
  24. Mehling IM, 2019, ARCH ORTHOP TRAUM SU, V139, P1161, DOI 10.1007/s00402-019-03196-6
  25. Morgan SDJ, 2021, J HAND SURG-EUR VOL, V46, P616, DOI 10.1177/17531934211005637
  26. Nakamoto JC, 2023, ARCH ORTHOP TRAUM SU, V143, P2247, DOI 10.1007/s00402-022-04625-9
  27. NAKAMURA R, 1993, J HAND SURG-BRIT EUR, V18B, P219, DOI 10.1016/0266-7681(93)90114-U
  28. NAKAMURA R, 1987, J HAND SURG-AM, V12A, P1000, DOI 10.1016/S0363-5023(87)80097-7
  29. Pinder RM, 2015, J HAND SURG-AM, V40, P1797, DOI 10.1016/j.jhsa.2015.05.003
  30. Putnam JG, 2019, J HAND SURG-AM, V44, DOI 10.1016/j.jhsa.2018.05.023
  31. Quadlbauer S, 2023, ARCH ORTHOP TRAUM SU, V143, P4565, DOI 10.1007/s00402-023-04806-0
  32. Quadlbauer S, 2019, OPER ORTHOP TRAUMATO, V31, P433, DOI 10.1007/s00064-019-00623-0
  33. Quadlbauer S, 2019, ARCH ORTHOP TRAUM SU, V139, P281, DOI 10.1007/s00402-018-3087-6
  34. Schäfer RC, 2023, ARCH ORTHOP TRAUM SU, DOI 10.1007/s00402-023-04846-6
  35. Schmidle G, 2018, ARCH ORTHOP TRAUM SU, V138, P1395, DOI 10.1007/s00402-018-2983-0
  36. Van Nest DS, 2021, J WRIST SURG, V10, P255, DOI 10.1055/s-0040-1721405
  37. Van Tassel DC, 2010, J HAND SURG-AM, V35A, P1242, DOI 10.1016/j.jhsa.2010.05.017
  38. WARRENSMITH CD, 1988, J HAND SURG-BRIT EUR, V13B, P83, DOI 10.1016/0266-7681(88)90060-5
  39. Welle K, 2022, SCI REP-UK, V12, DOI 10.1038/s41598-022-12305-2

Coleções
Artigos e Materiais de Revistas Científicas - FM/MOT
Artigos e Materiais de Revistas Científicas - HC/IOT
Artigos e Materiais de Revistas Científicas - LIM/41