Zusammenfassung
Kahnbeinfrakturen stellen 60 % aller Frakturen der Handwurzeln, 10 % aller Frakturen an der Hand, aber nur 2–3 % aller Frakturen dar. Der Großteil der Kahnbeinfrakturen heilt unter konservativer Therapie, jedoch wird in der Literatur eine Pseudarthroserate von 10 % beschrieben.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatur
Aibinder WR, Wagner ER, Bishop AT, Shin AY (2017) Bone grafting for scaphoid nonunions: is free vascularized bone grafting superior for scaphoid nonunion? Hand 155894471773639. https://doi.org/10.1177/1558944717736397
Braga-Silva J, Peruchi FM, Moschen GM et al (2008) A comparison of the use of distal radius vascularised bone graft and non-vascularised iliac crest bone graft in the treatment of non-union of scaphoid fractures. J Hand Surg Eur 33:636–640. https://doi.org/10.1177/1753193408090400
Buijze GA, Ochtman L, Ring D (2012) Management of scaphoid nonunion. J Hand Surg Am 37:1095–1100. https://doi.org/10.1016/j.jhsa.2012.03.002
Cooney WP, Dobyns JH, Linscheid RL (1980) Fractures of the scaphoid: a rational approach to management. Clin Orthop Relat Res 149:90–97
Dias JJ, Brenkel IJ, Finlay DB (1989) Patterns of union in fractures of the waist of the scaphoid. Bone Joint J 71(2):307–310
Dodds SD, Halim A (2016) Scaphoid Plate Fixation and Volar Carpal Artery Vascularized Bone Graft for Recalcitrant Scaphoid Nonunions. J Hand Surg Am 41:e191–e198. https://doi.org/10.1016/j.jhsa.2016.04.021
Dodds SD, Panjabi MM, Slade JF (2006) Screw fixation of scaphoid fractures: a biomechanical assessment of screw length and screw augmentation. J Hand Surg Am 31:405–413. https://doi.org/10.1016/j.jhsa.2005.09.014
Duckworth AD, Jenkins PJ, Aitken SA et al (2012) Scaphoid fracture epidemiology. J Trauma Acute Care Surg 72:1. https://doi.org/10.1097/ta.0b013e31822458e8
Esteban-Feliu I, Barrera-Ochoa S, Vidal-Tarrason N et al (2018) Volar Plate Fixation to Treat Scaphoid Nonunion: A Case Series With Minimum 3 Years of Follow-Up. J Hand Surg Am 43:569.e1–569.e8. https://doi.org/10.1016/j.jhsa.2017.12.004
Garcia RM, Leversedge FJ, Aldridge JM et al (2014) Scaphoid nonunions treated with 2 headless compression screws and bone grafting. J Hand Surg Am 39:1301–1307. https://doi.org/10.1016/j.jhsa.2014.02.030
Garg B, Goyal T, Kotwal PP et al (2013) Local distal radius bone graft versus iliac crest bone graft for scaphoid nonunion: a comparative study. Musculoskelet Surg 97:109–114. https://doi.org/10.1007/s12306-012-0219-y
Geissler WB, Slade JF (2016) Fractures of the Carpal Bones. In: Wolfe S, Pederson W, Kozin SH, Cohen M (Hrsg) Green’s Operative Hand Surgery, 7. Aufl. Elsevier Churchill Livingstone, Philadelphia, S 639–708
Goodwin J, Castañeda P, Drace P, Edwards S (2017) A biomechanical comparison of screw and plate fixations for scaphoid fractures. J Wrist Surg 1. https://doi.org/10.1055/s-0037-1606123
Haupt G, Haupt A, Ekkernkamp A et al (1992) Influence of shock waves on fracture healing. Urology 39:529–532. https://doi.org/10.1016/0090-4295(92)90009-l
Herbert TJ, Fisher WE (1984) Management of the fractured scaphoid using a new bone screw. J Bone Joint Surg Br 66:114–123
Inoue G, Shionoya K (1997) Herbert screw fixation by limited access for acute fractures of the scaphoid. J Bone Jt Surg 79:418–421. https://doi.org/10.1302/0301-620x.79b3.7254
Jones DB, Bürger H, Bishop AT, Shin AY (2009) Treatment of scaphoid waist nonunions with an avascular proximal pole and carpal collapse. Surgical technique. J Bone Joint Surg Am 91(2):169–183. https://doi.org/10.2106/jbjs.i.00444
Jurkowitsch J, Dall’Ara E, Quadlbauer S et al (2016) Rotational stability in screw-fixed scaphoid fractures compared to plate-fixed scaphoid fractures. Arch Orthop Trauma Surg 136:1623–1628. https://doi.org/10.1007/s00402-016-2556-z
Krimmer H, Schmitt R, Herbert T (2000) Scaphoid fractures – diagnosis, classification and therapy. Unfallchirurg 103:812–819
Leixnering M, Pezzei C, Weninger P et al (2011) First experiences with a new adjustable plate for osteosynthesis of scaphoid nonunions. J Trauma – Inj Infect Crit Care 71:933–938. https://doi.org/10.1097/TA.0b013e3181f65721
Mandaleson A, Tham SK, Lewis C, et al (2017) Scaphoid fracture fixation in a nonunion model: a biomechanical study comparing 3 types of fixation. J Hand Surg Am. https://doi.org/10.1016/j.jhsa.2017.10.005
McCallister WV., Knight J, Kaliappan R, Trumble TE (2003) Central placement of the screw in simulated fractures of the scaphoid waist: A biomechanical study. J Bone Jt Surg – Ser A 85:72–77. https://doi.org/10.2106/00004623-200301000-00012
Pinder RM, Brkljac M, Rix L et al (2015) Treatment of scaphoid nonunion: a systematic review of the existing evidence. J Hand Surg Am 40:1797–1805. https://doi.org/10.1016/j.jhsa.2015.05.003
Quadlbauer S, Beer T, Pezzei C et al (2017) Stabilization of scaphoid type B2 fractures with one or two headless compression screws. Arch Orthop Trauma Surg 137:1587–1595. https://doi.org/10.1007/s00402-017-2786-8
Quadlbauer S, Pezzei C, Beer T et al (2018) Treatment of scaphoid waist nonunion by one, two headless compression screws or plate with or without additional extracorporeal shockwave therapy. Arch Orthop Trauma Surg 1–13. https://doi.org/10.1007/s00402-018-3087-6
Schaden W, Fischer A, Sailler A (2001) Extracorporeal shock wave therapy of nonunion or delayed osseous union. Clin Orthop Relat Res 387:90–94. https://doi.org/10.1097/00003086-200106000-00012
Schmidle G, Ebner HL, Klauser AS, et al (2018) Correlation of CT imaging and histology to guide bone graft selection in scaphoid non-union surgery. Arch Orthop Trauma Surg 1–11
Schmitt R, Van Schoonhoven J (2015) Skaphoidpseudarthrose. In: Schmitt R, Lanz U (eds) Bildgbende Diagnostik der Hand, 3rd edn. Georg Thieme Verlag, 70469 Stuttgart, Deutschland, S. 297–308
Singh HP, Taub N, Dias JJ (2012) Management of displaced fractures of the waist of the scaphoid: meta-analyses of comparative studies. Injury 43:933–939. https://doi.org/10.1016/j.injury.2012.02.012
Slade JF, Geissler WB, Gutow AP, Merrell GA (2003) Percutaneous internal fixation of selected scaphoid nonunions with an arthroscopically assisted dorsal approach. In: Journal of Bone and Joint Surgery – Series A. S. 20–32
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature
About this chapter
Cite this chapter
Quadlbauer, S., Jurkowitsch, J., Leixnering, M. (2020). Skaphoidpseudarthrose (mittleres Drittel) Schrauben/Plattenosteosynthese. In: Unglaub, F. (eds) Hand und Handgelenk. Meistertechniken in der operativen Orthopädie und Unfallchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59452-0_8
Download citation
DOI: https://doi.org/10.1007/978-3-662-59452-0_8
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-59451-3
Online ISBN: 978-3-662-59452-0
eBook Packages: Medicine (German Language)