Sergio G, Rosa D, De Pasquali P M, Petillo C
Division of Orthopaedics & Traumatology, St. Gennaro Hospital, Naples.
Ital J Orthop Traumatol. 1987 Sep;13(3):325-32.
The factors favouring delayed and nonunion in fractures of the carpal navicular are discussed. These may be anatomical, biological, mechanical, or related to diagnosis and treatment. Twenty cases are presented which were treated between 1980 and 1985 by the Matti-Russe operation. Unlike Matti-Russe, the authors remove the transplant from the distal metaphysis of the homolateral radius, which is easily exposed by prolonging the skin incision by a few centimetres. This reduces the operating time. The authors conclude by emphasizing the reliability and simplicity of this method, which resulted in consolidation in 87% of the cases.
本文讨论了腕舟骨骨折延迟愈合和不愈合的相关因素。这些因素可能是解剖学、生物学、力学方面的，或与诊断和治疗有关。本文介绍了1980年至1985年间采用马蒂-鲁斯手术治疗的20例病例。与马蒂-鲁斯手术不同的是，作者从同侧桡骨远端干骺端取骨移植，通过将皮肤切口延长几厘米很容易暴露该部位。这缩短了手术时间。作者强调该方法的可靠性和简便性，并得出结论，该方法使87%的病例实现了骨愈合。
