Pereira Alexis, Hidalgo Díaz Juan José, Saur Maurise, Salazar Botero Santiago, Facca Sybille, Liverneaux Philippe
Hand Surgery Department, SOS Main, CCOM, Strasbourg University Hospital, FMTS, Strasbourg University, Icube CNRS 7357, 10 Avenue Baumann, 67400, Illkirch, France.
Eur J Orthop Surg Traumatol. 2017 May;27(4):521-525. doi: 10.1007/s00590-017-1960-6. Epub 2017 Apr 11.
The purpose of this retrospective comparative study was to assess whether a complementary treatment by pulsed electromagnetic field could increase the bone-healing rate of scaphoid non-union without SNAC (scaphoid non-union advanced collapse) treated by retrograde percutaneous screw fixation.
Eighteen patients with scaphoid non-union were included in this retrospective study. The group 1 was made of nine cases (seven stage IIA and two stage IIB) of scaphoid non-union treated by retrograde percutaneous screw fixation and pulsed electromagnetic fields (Physiostim). The group 2 was made of nine cases (six stage IIA and three stage IIB) treated by simple retrograde percutaneous screw fixation.
With a 10-month follow-up in group 1 and a 9.5-month follow-up in group 2, there were three cases of non-union in group 1 and two cases in group 2. Regarding the type of non-union, there was one case among the stage IIB and four cases among the stage IIA.
The results of the study did not show any interest in the use of pulsed electromagnetic field for the treatment of carpal scaphoid non-union. They should be dropped.
III.
本回顾性对照研究旨在评估在逆行经皮螺钉固定治疗无舟状骨不连进展性塌陷（SNAC）的舟状骨骨不连时，脉冲电磁场辅助治疗能否提高骨愈合率。
本回顾性研究纳入了18例舟状骨骨不连患者。第1组由9例（7例IIA期和2例IIB期）采用逆行经皮螺钉固定联合脉冲电磁场（Physiostim）治疗的舟状骨骨不连患者组成。第2组由9例（6例IIA期和3例IIB期）采用单纯逆行经皮螺钉固定治疗的患者组成。
第1组随访10个月，第2组随访9.5个月，第1组有3例骨不连，第2组有2例骨不连。关于骨不连类型，IIB期有1例，IIA期有4例。
该研究结果未显示脉冲电磁场用于治疗腕舟状骨骨不连有任何益处。应放弃使用。
III级。
