Condamine J L, Lebourg M, Raimbeau G
Ann Chir Main. 1986;5(4):269-80. doi: 10.1016/s0753-9053(86)80001-1.
The authors present a review of 28 cases of failure of consolidation of the carpal navicular after the Matti-Russe operation (multicentric study of 106 cases). The causes of the failures are analysed. Among the non significant factors, we find the delay, the radiographic character of the pseudarthrosis, the donor site of the graft, the time of immobilization and the site of the fracture. The superior polar fractures do not have a bad prognosis in this series. Five causes seem to be in direct relation with the failure of consolidation: the age, the failure of an initial surgery procedure, the presence of radiologic "necrosis", the quality of the technical performance of the Matti-Russe operation, and finally dorsal carpal instability that seems to be a fundamental cause in the failure of bony union. The future of these pseudarthroses is analysed concerning: the functional results (64% of poor results); the evolution towards the pseudarthrosis (30%); the surgical reoperations (12 cases out of 28) with eight repeat Matti-Russe operations that finished in five consolidations.
作者对28例马蒂-鲁塞手术（106例多中心研究）后腕舟骨愈合失败的病例进行了综述，并分析了失败原因。在非显著因素中，我们发现有延迟、假关节的影像学特征、移植物供区、固定时间和骨折部位。在本系列研究中，舟骨近极骨折预后并不差。似乎有五个原因与愈合失败直接相关：年龄、初次手术程序失败、存在放射学“坏死”、马蒂-鲁塞手术的技术操作质量，最后是腕背侧不稳定，这似乎是骨不连失败的一个根本原因。分析了这些假关节的未来情况，涉及：功能结果（64%为不良结果）；向假关节的演变（30%）；手术再操作（28例中有12例），其中8例重复马蒂-鲁塞手术，5例实现愈合。
