Abstract
Amongst the different techniques for scaphoid non-union, the Matti-Russe procedure is a simple method where a cortico-cancellous bone graft from the iliac crest is packed in the scaphoid...
Highlights
Our post-operative shorter time of immobilization leads to an improved range of motion and excellent and good Mayo wrist score (MWS) scores
A cortico-cancellous bone graft taken from the iliac crest is packed in the corresponding trough in the scaphoid
A variant of the technique used in our Department involves a slightly longer incision proximally and a bone graft taken from the distal volar portion of the radius, rather than from the iliac crest
Summary
Scaphoid fractures are a common type of fracture, accounting for up to 70% of carpal fractures [1,2], which occur frequently after a fall on the outstretched hand (hyperextension of the wrist joint). The Matti-Russe procedure is a simple method, described by Hermann Matti in 1937 [16,17] and later modified by Otto Russe in 1960 [18] In the past it was a widely applied method and involves a volar incision, lateral to the flexor carpi radialis; the non-union site is exposed and a cavity extending to adjacent fragments is created. A variant of the technique used in our Department involves a slightly longer incision proximally and a bone graft taken from the distal volar portion of the radius, rather than from the iliac crest. Amongst the different techniques for scaphoid non-union, the Matti-Russe procedure is a simple method where a corticocancellous bone graft from the iliac crest is packed in the scaphoid. Aim of the study was to evaluate the outcome of our variant of the Matti-Russe procedure for scaphoid nonunion
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