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주상골 불휴합에서 Matti-Russe 골이식과 Herbert 나사를 이용한 골유합술의 결과
조덕연,함영길,이명형 대한골절학회 1996 대한골절학회지 Vol.9 No.1
Fracture of scaphoid are second most common fractures of wrist, and about 1/6 of these fractures proceed to nonunion. The most widely used surgical procedure of scaphoid nonunion has been Matti-Russe procedures, and Hebert screw is a recently introduced fixation device as a means of rigid internal fixation promoting union and decreasing immobilization time. Authors have managed 15 cases of scaphoid nonunion with Matti-Russe bone grafting technique and Herbert screw, and accomplished satisfactory results: The union rate was 96.6%, the average time to union was 17.1 weeks, and according to Maudsley's assessment criteria, we obtained 7 cases of excellent, 6 good, and 2 fair results. Despite of it's technical demand and lack of the number of study material, Matti-Russe bone grafting technique with Herbert screw fixation seems efficient and reliable method of treatment.