Round table discussion. The management of proximal scaphoid nonunion.

Bo Liu, Martín Caloia, Pak-Cheong Ho, Christophe Mathoulin, Scott Wolfe
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Abstract

The management of scaphoid nonunion, although relatively common, continues to pose challenges, especially if complicated by avascular necrosis of the proximal pole, humpback or dorsal intercalated segment instability deformities, and early scaphoid nonunion advanced collapse. In this round table article, four surgeons were asked to answer key questions on a clinical example of a proximal scaphoid nonunion to outline their approach and rationale in their preferred treatment choices. The current panel of experts leans towards arthroscopic methods of treatment and most agree that arthroscopic bone grafting has become an important and revolutionary treatment option, which has yielded excellent results. However, both open and arthroscopic grafting are validated methods of treatment and which is to be performed is largely based on the surgeon's preference.

圆桌讨论。肩胛骨近端未接合的处理。
肩胛骨骨不连虽然比较常见,但其治疗仍然是一项挑战,尤其是在并发近端骨无血管坏死、驼背或背侧闰节不稳定畸形以及早期肩胛骨骨不连晚期塌陷的情况下。在这篇圆桌文章中,四位外科医生应邀回答了有关肩胛骨近端未愈合临床案例的关键问题,概述了他们首选的治疗方法和理由。目前的专家小组倾向于采用关节镜治疗方法,大多数人都认为关节镜骨移植已成为一种重要的革命性治疗方法,并取得了卓越的疗效。不过,开放和关节镜植骨都是有效的治疗方法,采用哪种方法主要取决于外科医生的偏好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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