17. Functional and Radiological Outcome with Matti-Russe Grafting in Non-Union of Scaphoid
Muhammad Khalid-ur-Rehman1, Rohail Mumtaz2, Muhammad Usman Aslam3 and Syed Wasif Ali Shah4
ABSTRACT
Objective: To evaluate the functional & radiological outcome in nonunion of scaphoid fractures – fixed with Matti-Russe grafts.
Study Design: Prospective Interventional Case Series.
Place and Duration of Study: This study was conducted at the Ameer-ud-Din Medical College, Lahore/ General Hospital, Lahore from June 2015 to June 2018.
Materials and Methods: A total of 20 patients included having age between 18-50 years with more than 4 months old fractures in scaphoid. All the fractures were treated before conservatively. The follow up was carried out at 3 and 6 months post-operatively. Both radiological evidences and functional assessment carried out and documented in Mayo’s wrist score.
Results: The mean age was 31±8 years with male preponderance. Most of the patients have mean duration of injury 6±2 months. Almost half of the patients were having avascular necrosis (AVN) of the proximal pole of scaphoid. 75% of the patients resulted in good radiological healing and Mayo’s Wrist Score (MWS) have value as pre op MWS 53 to post op MWS 84 which is statistically significant.
Conclusion: The results of both functional & Radiological data showed promising outcome with this technique so we conclude that Matti-Russe procedure is very effective procedure for nonunion of scaphoid but we recommend comparative study of different treatment options.
Key Words: Matti-Russe technique, Mayo’s Wrist Score (MWS), Avascular Necrosis (AVN), Herbert Screws
Citation of articles: Rehman MK, Mumtaz R, Aslam MU, Shah SWA. Functional and Radiological Outcome With Matti-Russe Grafting in Non-Union of Scaphoid. Med Forum 2019;30(8):73-76.