Pechlaner S, Beck E
Universitätsklinik für Unfallchirurgie Innsbruck.
Unfallchirurg. 1990 Apr;93(4):150-6.
Operative procedures for application in scaphoid nonunion are limited by secondary changes of wrist and carpus. The choice of treatment is determined by the degree of vascularization of the fragments. Bony union can be achieved by means of an autogenous free bone graft if there is adequate vascularization of at least one fragment. In the case of extensive impairment of the blood supply, a bone graft on a vascular pedicle is recommended. The postoperative stability of the fragments is of decisive importance for consolidation of the nonunion. The localization and orientation of the nonunion and the extent to which the blood supply is impaired determine the choice of treatment. The standard methods of operation are demonstrated. Our results and experience with the techniques of Matti-Russe I (86 cases), Russe II (18 cases), the Pechlaner-Hussl vascular pedicle bone transplant (35 cases) and the Herbert screw (18 cases) are reported.
应用于舟骨不愈合的手术方法受到腕关节和腕骨继发性改变的限制。治疗方法的选择取决于骨折块的血管化程度。如果至少有一个骨折块有足够的血管化，可通过自体游离骨移植实现骨愈合。在血供广泛受损的情况下，建议采用带血管蒂骨移植。骨折块的术后稳定性对于不愈合的愈合至关重要。不愈合的位置和方向以及血供受损程度决定了治疗方法的选择。展示了标准的手术方法。报告了我们采用马蒂 - 鲁斯I法（86例）、鲁斯II法（18例）、佩奇拉纳 - 胡斯尔带血管蒂骨移植法（35例）和赫伯特螺钉法（18例）的结果和经验。
