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| Year : 2000 | Volume
: 34
| Issue : 4 | Page : 275-279 |
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Nonunion Of Scaphoid Fractures : Treatment By The Fisk-Fernandez Technique
G. A Anderson, B. P Thomas
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Correspondence Address:
G. A Anderson
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Seventeen patients with Scaphoid nonunion (SNU) of the Lichtman Stage II type were treated by interpositional bone grafting: the Fisk-Fernandez technique. Internal fixation was with K-Wires in 16 wrists and Herbert screw in1. union was complete in 16 SNU(94.1%) at a mean duration of 10.5 weeks. There was clinical improvement in grip and pinch strength and radiological improvement in the dorsal intercalated segment instability (DISI) and the intercarpal segment instability (DISI) and the intercarpal angles in the fractures that united. At follow-up (mean 4.5 year) there was no localized radioscaphoid or generalized radiocarpal joint arthrosis. In the SNU’s without arthrosis the Fisk-Fernandez technique gives predictable results with no further deterioration of wrist function. |
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