Vascularised bone graft with mini-acutrak® fixation in scaphoid pseudoarthrosis with proximal pole necrosis
Injerto óseo vascularizado y fijación con mini-acutrak® en las pseudoartrosis de escafoides con necrosis del polo proximal
C. Lamas
, I. Proubasta, L. Natera, R. Moldovan, M. Almenara
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Unidad de la Mano y Extremidad Superior, Servicio de Cirugía Ortopédica y Traumatología, Hospital de la Santa Creu i Sant Pau, Universidad Autónoma de Barcelona, Barcelona, Spain
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González-Herranz" "autores" => array:2 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Fontao-Fernández" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "González-Herranz" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1988885611703030?idApp=UINPBA00004N" "url" => "/19888856/0000005500000003/v1_201305031745/S1988885611703030/v1_201305031745/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "titulo" => "Vascularised bone graft with mini-acutrak<span class="elsevierStyleSup">®</span> fixation in scaphoid pseudoarthrosis with proximal pole necrosis" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "187" "paginaFinal" => "192" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "C. Lamas, I. Proubasta, L. Natera, R. Moldovan, M. Almenara" "autores" => array:5 [ 0 => array:4 [ "nombre" => "C." "apellidos" => "Lamas" "email" => array:1 [ 0 => "clamasg@hsp.santpau.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Proubasta" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Natera" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Moldovan" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Almenara" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Unidad de la Mano y Extremidad Superior, Servicio de Cirugía Ortopédica y Traumatología, Hospital de la Santa Creu i Sant Pau, Universidad Autónoma de Barcelona, Barcelona, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Injerto óseo vascularizado y fijación con mini-acutrak<span class="elsevierStyleSup">®</span> en las pseudoartrosis de escafoides con necrosis del polo proximal" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-11-15" "fechaAceptado" => "2011-02-10" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec103273" "palabras" => array:3 [ 0 => "Scaphoid nonunion" 1 => "Necrosis proximal pole scaphoid" 2 => "Vascularized bone graft" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec103272" "palabras" => array:3 [ 0 => "Pseudoartrosis de escafoides" 1 => "Necrosis polo proximal escafoides" 2 => "Injerto óseo vascularizado" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">We studied the use of vascularized bone graft (VBG) in combination with a fixation with screw in patients with scaphoid nonunion and avascular proximal poles.</p> <span class="elsevierStyleSectionTitle">Materials and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Between January 2006 and December 2009, we treated 10 patients with scaphoid nonunion with avascular proximal poles. There were 10 males with nonunion. Their average age was 27 years (range: 18–46 years). The average followup was 18 months (range: 12–43 months). The clinical valuation was the scale of pain (VAS), the range of motion and grip strength. The radiological valuation included radiographies, CT and MRI. We studied the scapholunate angle, the Carpal Height Index by Nattrass et al. and the Mayo Wrist Score.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The mean preoperative VAS was 4.5 (2–8) and postoperative VAS 1 (0–2). All patients achieved union in an average time of 15 weeks (range: 6–25 weeks). X-rays and CT showed a complete osseous union in all patients. Carpal Height Index was a mean of 1.50 preoperative and 1.58 postoperative. The scapholunate angle was a mean of 52° preoperative and 49° postoperative. Mayo Wrist Score was 53 preoperative and 92 postoperative.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We have found that the technique which combines VBG with mini acutrak<span class="elsevierStyleSup">®</span> screw, is successful in treating scaphoid nonunions with avascular poles. We prefer to use the vessel 1, 2 ICSRA. If this vessel is occasionally absent, other pedicles may be used.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Evaluar los resultados del injerto óseo vascularizado (IOV) de la arteria 1, 2 suprarretinacular intercompartimental (1,2 SRIC) junto con la fijación, en pseudoartrosis de escafoides y necrosis del polo proximal.</p> <span class="elsevierStyleSectionTitle">Material y método</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Realizamos un estudio retrospectivo, entre enero de 2006 y diciembre de 2009. Se trata de 10 pacientes con pseudoartrosis de escafoides con necrosis del polo proximal. Todos eran varones con edad media de 27 años (rango: 18–46). El seguimiento medio fue de 18 meses (rango: 12–43). La evaluación clínica incluye el dolor según la escala visual analógica (EVA), el balance articular y la fuerza de prensión. La evaluación radiológica incluye radiografías, TC y RNM. Se midió el ángulo escafolunar y la altura carpiana de acuerdo con el índice de Nattrass et al. La escala utilizada fue la Mayo Wrist Score.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La consolidación tuvo lugar en todos en un tiempo medio de 15 semanas (rango: 6–25 semanas). La media de EVA preoperatoria fue de 4,5 (2–8) y postoperatoria de 1 (0–2). El índice de la altura carpiana de Nattrass preoperatorio fue de 1,50 y postoperatorio de 1,58. El ángulo escafolunar medio preoperatorio fue de 52° y postoperatorio de 49°. Los valores preoperatorios de la Mayo Wrist Score fueron de 53 y los valores postoperatorios de 92.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">La técnica que combina el IOV y la fijación con un tornillo mini-acutrak<span class="elsevierStyleSup">®</span> presenta buenos resultados, en el tratamiento de las pseudoartrosis de escafoides con necrosis del polo proximal. Preferimos el uso de la arteria 1,2 SRIC. En el caso de que esta arteria esté ausente se pueden utilizar otros pedículos vasculares.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 October | 5 | 9 | 14 |
| 2024 September | 9 | 10 | 19 |
| 2024 August | 10 | 14 | 24 |
| 2024 July | 11 | 18 | 29 |
| 2024 June | 5 | 8 | 13 |
| 2024 May | 8 | 7 | 15 |
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| 2024 February | 15 | 17 | 32 |
| 2024 January | 12 | 9 | 21 |
| 2023 December | 11 | 13 | 24 |
| 2023 November | 19 | 16 | 35 |
| 2023 October | 19 | 30 | 49 |
| 2023 September | 11 | 8 | 19 |
| 2023 August | 14 | 18 | 32 |
| 2023 July | 6 | 22 | 28 |
| 2023 June | 15 | 23 | 38 |
| 2023 May | 10 | 13 | 23 |
| 2023 April | 1 | 4 | 5 |
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| 2023 February | 5 | 11 | 16 |
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| 2022 December | 8 | 15 | 23 |
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| 2022 October | 12 | 26 | 38 |
| 2022 September | 8 | 24 | 32 |
| 2022 August | 15 | 33 | 48 |
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| 2022 June | 5 | 19 | 24 |
| 2022 May | 6 | 19 | 25 |
| 2022 April | 15 | 22 | 37 |
| 2022 March | 8 | 28 | 36 |
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| 2021 December | 9 | 28 | 37 |
| 2021 November | 5 | 15 | 20 |
| 2021 October | 9 | 28 | 37 |
| 2021 September | 9 | 16 | 25 |
| 2021 August | 6 | 11 | 17 |
| 2021 July | 7 | 14 | 21 |
| 2021 June | 12 | 24 | 36 |
| 2021 May | 25 | 24 | 49 |
| 2021 April | 28 | 17 | 45 |
| 2021 March | 28 | 37 | 65 |
| 2021 February | 11 | 19 | 30 |
| 2021 January | 12 | 17 | 29 |
| 2020 December | 0 | 9 | 9 |
| 2020 November | 0 | 17 | 17 |
| 2020 October | 0 | 6 | 6 |
| 2020 September | 0 | 11 | 11 |
| 2020 August | 0 | 17 | 17 |
| 2020 July | 0 | 8 | 8 |
| 2020 June | 0 | 7 | 7 |
| 2020 May | 0 | 10 | 10 |
| 2020 April | 0 | 8 | 8 |
| 2020 March | 0 | 13 | 13 |
| 2020 February | 0 | 4 | 4 |
| 2020 January | 0 | 14 | 14 |
| 2019 December | 0 | 20 | 20 |
| 2019 November | 0 | 10 | 10 |
| 2019 October | 0 | 7 | 7 |
| 2019 September | 0 | 9 | 9 |
| 2019 August | 0 | 8 | 8 |
| 2019 July | 0 | 13 | 13 |
| 2019 June | 0 | 37 | 37 |
| 2019 May | 0 | 101 | 101 |
| 2019 April | 0 | 52 | 52 |
| 2019 March | 0 | 7 | 7 |
| 2019 February | 0 | 14 | 14 |
| 2019 January | 0 | 11 | 11 |
| 2018 December | 0 | 17 | 17 |
| 2018 November | 0 | 3 | 3 |
| 2018 October | 0 | 15 | 15 |
| 2018 July | 0 | 1 | 1 |
| 2018 June | 0 | 2 | 2 |
| 2018 February | 2 | 0 | 2 |
| 2018 January | 5 | 0 | 5 |
| 2017 December | 1 | 0 | 1 |
| 2017 November | 6 | 2 | 8 |
| 2017 October | 3 | 0 | 3 |
| 2017 September | 1 | 3 | 4 |
| 2017 August | 9 | 8 | 17 |
| 2017 July | 7 | 1 | 8 |
| 2017 June | 5 | 1 | 6 |
| 2017 May | 12 | 1 | 13 |
| 2017 April | 6 | 0 | 6 |
| 2017 March | 7 | 1 | 8 |
| 2017 February | 11 | 0 | 11 |
| 2017 January | 6 | 1 | 7 |
| 2016 December | 8 | 0 | 8 |
| 2016 November | 12 | 1 | 13 |
| 2016 October | 9 | 0 | 9 |
| 2016 September | 10 | 3 | 13 |
| 2016 August | 8 | 0 | 8 |
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