Kukla C, Wozasek G E
II. Universitätsklinik für Unfallchirurgie Wien.
Handchir Mikrochir Plast Chir. 1992 Sep;24(5):267-72.
Proximal pole scaphoid nonunion with a small necrotic proximal fragment presents therapeutical problems. Cannulated screw fixation as a modification of the Russe II procedure combines the advantages of minimal surgical exposure and trauma, preserving the blood supply of the distal fragment, and at the same time achieving rigid fixation of the autogenous bone graft. Six out of seven patients had satisfactory subjective and objective results after a mean follow-up of 12.9 years, although radiographic findings were less favorable.
舟骨近端骨折不愈合且近端小骨块坏死存在治疗难题。作为Russe II手术改良术式的空心螺钉固定术，兼具手术暴露和创伤最小化的优点，可保留远端骨块的血供，同时实现自体骨移植的坚强固定。7例患者中6例在平均随访12.9年后获得了满意的主观和客观结果，尽管影像学表现欠佳。
