PARTIAL EXCISION OF SCAPHOID: IS IT EVER INDICATED?
2001; Elsevier BV; Volume: 17; Issue: 4 Linguagem: Inglês
10.1016/s0749-0712(21)01452-9
ISSN1558-1969
AutoresMarc García‐Elías, Alberto Lluch,
Tópico(s)Medical Malpractice and Liability Issues
ResumoThe carpal scaphoid cannot be partially or totally excised without paying a functional penalty, usually in the form of carpal instability. In selected conditions, however, a partial scaphoidectomy may be preferred over other less reliable alternatives. These include excision of a small fragment of a fractured proximal pole when there is no injury to the scapholunate ligaments; excision of the distal fragment of a nonunited, arthritic distal-third scaphoid fracture; resection-arthroplasty of isolated STT osteoarthritis; and distal scaphoid excision to improve midcarpal function after a radioscapholunate fusion. In this article, both the pathomechanics and clinical results of such techniques are discussed.
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