Silicone replacement for non-union of the scaphoid. 7 cases followed for 9 (5-18) years.
In the years 1971-1983, 7 patients underwent excision of the scaphoid with replacement by a silicone rubber implant because of painful nonunion of a scaphoid fracture. The patients were reviewed 9 (4.5-18) years postoperatively. All patients returned to work, 2 patients being completely pain-free, 4 having only occasional pain on heavy activity, and 1 having pain on normal activity. The range of motion, power and pinch grip were near-normal in all. Radiographic examination showed progressive dorsal intercalated segment instability with carpal collapse and arthrosis. There was no evidence of fragmentation of, or reaction to the prosthesis. 1 prosthesis was dislocated, and no patient required a revision operation.
Ashcroft
G P
GP
Department of Orthopedics, Aberdeen Royal Infirmary, Scotland.
D'Netto
D C
DC
Alsindi
Z
Z
D000328:Adult; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D005500:Follow-Up Studies; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D011859:Radiography; D012826:Silicone Elastomers
D012826:Silicone Elastomers