Preisser P, Rudolf K D, Partecke B D
Abteilung für Handchirurgie, Plastische und Mikrochirurgie, Berufsgenossenschaftliches Unfallkrankenhaus Hamburg.
Handchir Mikrochir Plast Chir. 1998 Jan;30(1):45-51.
Between 1984 and 1993, 131 scaphoid nonunions were treated with iliac crest bone grafting and the Herbert-screw. 105 patients were followed between one and ten years with an average followup period of 4.5 years. Bony union was achieved in 93 patients with improvement of range of motion and grip strength. In 14 patients with DISI-instability, the angulation deformity was incompletely corrected with an average reduction of the scapho-lunate angle of eleven degrees. Limited athritic changes at the radial styloid were noted in 58%, intercarpal in 25% of the patients. Most frequent reasons for persistent nonunion were technical problems with the Herbert-screw.
1984年至1993年间，131例舟骨不愈合患者接受了髂骨植骨和Herbert螺钉治疗。105例患者接受了1至10年的随访，平均随访期为4.5年。93例患者实现了骨愈合，活动范围和握力得到改善。14例DISI不稳定患者的成角畸形未完全矫正，舟月角平均减小11度。58%的患者在桡骨茎突处出现有限的关节炎改变，25%的患者腕骨间出现关节炎改变。持续不愈合的最常见原因是Herbert螺钉的技术问题。
