The Indus Hospital,Karachi, Pakistan.
Department of Orthopaedics and Traumatology, Queen Mary Hospital, Hong Kong.
J Pak Med Assoc. 2021 Aug;71(Suppl 5)(8):S103-S106.
This case series of 4 patients was studied at Queen Mary Hospital, Hong Kong from 2007 to 2011 to evaluate the clinical and radiological outcome of scaphoid fracture non-union treated with Open reduction and internal fixation ORIF supplemented with Bone Graft (BG) from iliac crest and Platelet Rich Plasma PRP. The purpose was to achieve union with pain free adequate range of movement. Patients presenting with scaphoid fracture non-union were included in our study. Total 4 patients with an average age of 35±7.7 years (range 31 to 47 years) and mean follow-up of 21.75±14.97 months, (range 05 months to 3.5 years) were included. All patients achieved union with pain free Range of motion of wrist as well as thumb. We recommend open reduction and internal fixation with bone graft along with platelets rich plasma for non-union of scaphoid.
本病例系列研究共纳入 4 例患者，均来自于 2007 年至 2011 年期间的中国香港玛丽医院，旨在评估切开复位内固定术（ORIF）联合髂嵴骨移植（BG）和富血小板血浆（PRP）治疗舟状骨骨折不愈合的临床和影像学结果。该研究的目的是实现无痛、足够活动范围的愈合。本研究纳入了所有符合舟状骨骨折不愈合标准的患者。共有 4 名患者，平均年龄 35±7.7 岁（范围 31 至 47 岁），平均随访时间为 21.75±14.97 个月（范围 05 个月至 3.5 年）。所有患者均实现了无痛、腕关节和拇指活动范围正常的愈合。我们建议对舟状骨骨折不愈合患者采用切开复位内固定术联合骨移植和富含血小板的血浆进行治疗。
