Corresponding author:Désirée Moharamzadeh, Department of Orthopedics and Traumatology, Policlinico San Marco, Corso Europa 7, Osio Sotto (BG), Italy
Received: July 28, 2017; Published: August 22, 2017
To view the Full Article Peer-reviewed Article PDF
Background: 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. A variant of the technique used in our Department involves a longer incision and bone graft from the radius. Aim of the study was to evaluate the outcome of our variant of the Matti-Russe procedure for scaphoid nonunion.
Materials and Methods: During a 30-year period (January 1986-June 2016), 29 patients referred to our Hospital with a scaphoid nonunion and underwent our modified Matti-Russe procedure. We sampled 16 patients (14M; 2F) with complete data who referred consecutively between January 2000 and June 2016 (age range: 15.6-59.8 years; average 34 years). Scaphoid non-union was classified according to Alnot. Post-operatively the wrist and thumb were immobilized in a cast for 6 weeks. Patients’ outcomes were assessed at 4-months and at 12-months post-op using the Mayo wrist score (MWS) questionnaire. Average follow-up was 18.4 ± 5.6 months.
Results: Of 16 patients, 14 (87.5%) had good clinical and radiological outcome with union after 4.9 months. The MWS scores at 4-month and 12-month follow-up were respectively: excellent in 4 (25%) and 8 (50%) patients; good in 9 (56.3%) and 6 (37.5%) patients; satisfactory in 3 (18.8%) and 2 (12.5%) patients.
Conclusion: Our variant the Matti-Russe procedure is a valid procedure, with a high union rate and has a further advantage of being less invasive. Our post-operative shorter time of immobilization leads to an improved range of motion and excellent and good MWS scores.