JOURNAL OF EVIDENCE BASED MEDICINE AND HEALTHCARE

Table of Contents

2019 Month : January Volume : 6 Issue : 1 Page : 9-13

PROSPECTIVE STUDY OF FUNCTIONAL OUTCOME IN SCAPHOID NON-UNION WITH KIRSHNER WIRE AND AUTOLOGOUS BONE GRAFT

Nirottam Singh1, Ashok Meena2, D. S. Meena3

Corresponding Author:
Dr. Ashok Meena,
Room No. 104, PG Hostel- II,
Government Medical College Campus,
Rangbari, Kota- 324010, Rajasthan.
E-mail: drashokmeena7@gmail.com
DOI: 10.18410/jebmh/2019/2

ABSTRACT
BACKGROUND
The scaphoid is the most commonly fractured carpal bone. These fractures are difficult to diagnose and manage. Degenerative changes occur if scaphoid fracture non-union if left untreated. This study evaluates the outcome of scaphoid non-union treated with K wires and bone grafting.
The aim of this study was to evaluate functional and radiological outcome in scaphoid non-union treated with Kirshner wire and autologous bone grafts.

MATERIALS AND METHODS
A total of 36 patients who had scaphoid non-union treated with iliac bone grafting and Kirschner wire fixation between June 2015 to June 2017, were enrolled as subjects of the study. Their clinical results were evaluated, including range of motion of the wrist joint, grip strength, pain and modified Mayo wrist score. Radiographic bone union was also assessed.

RESULTS
Bony union was achieved in 32 (88.8%) of 36 cases. 31(86%) of 36 cases achieved near normal (75-99% percentage of normal) range of motion (palmer flexion/dorsal flexion, radial/ulnar deviation) as compared to contralateral uninjured extremity. Excellent results achieved in 4 cases (11.11), Good results achieved in 21 cases (58.33%), fair results in 6 cases (17%), according to Mayo wrist scoring system postoperatively.

CONCLUSION
Autologous Iliac bone graft with Kirschner wire fixation can be considered a good treatment option for scaphoid non-union as it provides good clinical and radiological outcome.

KEYWORDS
Scaphoid Non-Union, Kirschner Wire, Autologous Bone Grafts.