Matti-Russe 술식과 Fisk-Fernandez 술식을 이용한 주상골 불유합 치료에 관한 비교 연구

• Published in: The journal of the Korean Orthopaedic Association Vol. 43; no. 6; pp. 694 - 702
• Main Authors: 이승환(Seung Hwan Rhee), 정문상(Moon Sang Chung), 이영호(Young Ho Lee), 공현식(Hyun Sik Gong), 김지영(Ji Yeong Kim), 김민범(Min Boem Kim), 오원석(Won Seok Oh), 전숙하(Suk Ha Jeon), 김정환(Jeong Hwan Kim), 백구현(Goo Hyun Baek)
• Format: Journal Article
• Language: Korean
• Published: 대한정형외과학회 01.12.2008
• Subjects: 정형외과학; Matti-Russe; Scaphoid Nonunion; Fisk-Fernandez; 주상골 불유합
• ISSN: 1226-2102; 2005-8918

Purpose: Established scaphoid nonunion may lead to carpal instability and osteoarthritis. The purpose of this study is to compare the clinical and radiological results of the osteosynthesis between Matti-Russe group and Fisk-Fernandez group. Materials and Methods: Our retrospective study included 21 nonunion cases in 20 patients treated by Matti-Russe or Fisk-Fernandez technique from September 2001 to August 2006. The mean duration of follow up was 31 months. Based on the questionnaire which included clinical information and the radiologic evaluation, we compared the objective and subjective results between two surgical groups. Results: There were no significant differences between two groups in respect of the postoperative satisfaction and the pain. Both the range of motion and the grip power decreased compared to that of the unaffected side, but there were no significant differences between two groups. Also, there were no significant differences in the union rate and the rate of successful correction of DISI deformity. In all cases in which DISI deformity was detected preoperatively, the deformity was corrected postoperatively. There were 7 cases of osteoarthritis, but among them only one case appeared newly after the surgery. Conclusion: There were no significant differences between two surgical groups in clinical and radiological results. Both techniques were effective in achieving bony union and functional recovery. KCI Citation Count: 1