Fuhrmann R, Venbrocks R, Fitzek J
Orthopädische Universitätsklinik, Essen.
Z Orthop Ihre Grenzgeb. 1990 Sep-Oct;128(5):512-8. doi: 10.1055/s-2008-1039606.
204 cases of pseudarthrosis of the scaphoid bone have been treated by several operation methods. Reviewing our patients after an average time of 6 years we are able to estimate the results. The Matti-Russe method was the most frequent operative procedure causing good and excellent results. Concerning to the worse blood circulation of the proximale fragment most problems came from the treatment of the necrotic proximale fragment. Using several methods of operation only the early results (up to 3 years) were satisfactory. Within the following years collapsing of the spacers or dislocation of the silicone-implants appeared and loss of function and pain followed. We thought that it is indispensable to find new surgery methods to treat the problematic cases of necrotic proximal fragments by using bone graftings, so that the late results also will be successful.
204例舟状骨假关节患者采用了多种手术方法进行治疗。在平均6年的随访后，我们对患者进行回顾，从而能够评估治疗结果。马蒂 - 鲁斯（Matti-Russe）方法是最常用的手术方式，疗效良好和优秀。由于近端骨折块血运较差，大多数问题来自于坏死近端骨折块的治疗。采用多种手术方法，仅早期（3年以内）效果令人满意。在接下来的几年里，间隔物塌陷或硅胶植入物脱位出现，随之而来的是功能丧失和疼痛。我们认为，通过植骨寻找新的手术方法来治疗坏死近端骨折块的疑难病例是必不可少的，这样才能使远期效果也获得成功。
