Spingardi Ombretta, Rossello Mario Igor
Hand (N Y). 2011 Jun;6(2):179-84. doi: 10.1007/s11552-010-9315-3. Epub 2011 Jan 11.
Scaphoid nonunion followed by necrosis of bone segments is a common pathologic condition for the hand surgeon, and the difficulty of its management is well known. The total titanium scaphoid replacement, although not well-described in the literature, in our experience represents a reasonable choice in the treatment of this condition. Strict patient selection is necessary to achieve good clinical results. The titanium avoids the silicone synovitis, a well-described complication of silastic implants. Furthermore, this technique permits other surgical steps in case of failure.
舟骨不愈合继而骨段坏死是手外科医生常见的病理状况，其治疗难度众所周知。全钛舟骨置换术在文献中虽描述不多，但根据我们的经验，是治疗这种情况的合理选择。严格的患者选择对于取得良好临床效果很有必要。钛可避免硅橡胶滑膜炎，这是硅橡胶植入物一种广为人知的并发症。此外，万一手术失败，该技术还允许采取其他手术步骤。
