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Minimally invasive percutaneous fixation of delayed and non-united scaphoid fractures / Ahmad Mostafa Hassan ElXeni ; Supervised Ahmed Kholeif , Sherif Khaled , Mostafa Mahmoud

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Ahmad Mostafa Hassan ElXeni , 2014Description: 91 P. : charts , facsimiles ; 25cmOther title:
  • علاج بطء أوعدم إلتئام كسور عظمة الزورقيه بواسطة التدخل الجراحى المحدود [Added title page title]
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Dissertation note: Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopaedic Surgery Summary: Scaphoid nonunions pose a great challenge to surgeons because of the multiple factors that may contribute to their causation. The etiology of the nonunion may be because of anatomic variations, fracture configuration, vascular problems, underlying metabolic problems, or the inadequacy of initial treatment. Percutaneous management of scaphoid nonunions offers the advantage of inducing minimal trauma to the soft tissues while adequately stabilizing the fracture site to induce union in a high percentage of cases. This study proves that percutaneous fixation of delayed or nonunited scaphoid fractures result in predictable satisfactory union rate and functional outcome, it proves that percutaneous Herbert's screw insertion carries no risk of damage to soft tissues or vascular supply. Also, the gap is not the determinant of time to union but actually it is the time since injury; the longer the time since injury the longer the time to union as long as the scaphoid alignment is maintained i.e. no humpback deformity (Slade & Dodds grade I-V)
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Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.25.Ph.D.2014.Ah.M (Browse shelf(Opens below)) Not for loan 01010110065109000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.25.Ph.D.2014.Ah.M (Browse shelf(Opens below)) 65109.CD Not for loan 01020110065109000

Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopaedic Surgery

Scaphoid nonunions pose a great challenge to surgeons because of the multiple factors that may contribute to their causation. The etiology of the nonunion may be because of anatomic variations, fracture configuration, vascular problems, underlying metabolic problems, or the inadequacy of initial treatment. Percutaneous management of scaphoid nonunions offers the advantage of inducing minimal trauma to the soft tissues while adequately stabilizing the fracture site to induce union in a high percentage of cases. This study proves that percutaneous fixation of delayed or nonunited scaphoid fractures result in predictable satisfactory union rate and functional outcome, it proves that percutaneous Herbert's screw insertion carries no risk of damage to soft tissues or vascular supply. Also, the gap is not the determinant of time to union but actually it is the time since injury; the longer the time since injury the longer the time to union as long as the scaphoid alignment is maintained i.e. no humpback deformity (Slade & Dodds grade I-V)

Issued also as CD

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