Article
Minimal 10 years follow up after Matti Russe procedure for scaphoid non-union
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Published: | October 21, 2010 |
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Objective: The long term results of a Matti Russe procedure are not known in relation to degenerative arthritis and function in daily life. We retrospectively studied our results of the Matti Russe procedure for scaphoid non-unions.
Methods: We identified 60 patients from our database with a follow up longer than 10 years after the procedure. Patients were analysed using strength measurements (Jamar, pinch grip), a mobility score, functional and participation scores (DASH, MHQ). Also radiographs were taken and judged for union and arthritis.
Results and conclusions: Union was achieved in 60%.Those patients with a union of the scaphoid had limitation of wrist motion but no functional complaints, whereas those with ongoing non-union developed osteoarthritis with pain and stiffness, necessitating arthrodesis of the wrist in 80%.
Although union was obtained in most of the patients we saw progressive osteoarthritis in a fairly large group at the long term follow up.