| |  Online-Ressource |
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| Verfasst von: | Xiong, Lingyun [VerfasserIn]  |
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| | Harhaus-Wähner, Leila [VerfasserIn] |
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| | Heffinger, Christian [VerfasserIn] |
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| | Bickert, Berthold [VerfasserIn] |
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| | Kremer, Thomas [VerfasserIn] |
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| | Kneser, Ulrich [VerfasserIn] |
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| | Hirche, Christoph [VerfasserIn] |
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| Titel: | A comparative study on autologous bone grafting combined with or without posterior interosseous nerve neurectomy for scaphoid nonunion treatment |
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| Verf.angabe: | Lingyun Xiong, Leila Harhaus, Christian Heffinger, Berthold Bickert, Thomas Kremer, Ulrich Kneser, Christoph Hirche |
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| E-Jahr: | 2015 |
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| Jahr: | 10 April 2015 |
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| Umfang: | 7 S. |
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| Fussnoten: | Gesehen am 07.07.2020 |
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| Titel Quelle: | Enthalten in: Journal of plastic, reconstructive & aesthetic surgery |
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| Ort Quelle: | Amsterdam [u.a.] : Elsevier, 2006 |
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| Jahr Quelle: | 2015 |
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| Band/Heft Quelle: | 68(2015), 8, Seite 1138-1144 |
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| ISSN Quelle: | 1878-0539 |
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| Abstract: | Background and aim - Scaphoid nonunion (SN) is a challenging state after scaphoid fracture. The posterior interosseous nerve neurectomy (PINN) is often performed adjunctively with scaphoid reconstruction using autologous bone grafts. However, it remains unclear whether PINN has a prophylactic or therapeutic value, and thus it results superior to patients with SN without PINN. - Methods - A retrospective study was performed to evaluate patients with SN who were treated with autologous bone grafts with (cohort 1) or without PINN (cohort 2) between 1996 and 2010. Clinical outcomes, Mayo-wrist score, quality of life by Short Form (SF)-36 questionnaire, and analysis of risk factors were included. - Results - A total of 151 patients with SN met the inclusion criteria, and 48 were lost in follow-up. The mean follow-up was 71.3 ± 39.0 months. Out of the remaining 103 patients, the union rate was without a statistical difference (P = 0.847) between cohorts 1 and 2. Functional results and the Mayo score were comparable in patients with bone union between both cohorts (P > 0.05). The results of wrist-pain measurements, including visual pain scales and wrist tenderness, were found to be similar (P > 0.05). Additionally, there was no significant difference in the quality of life. - Conclusion - The comparative study on autologous bone grafts for scaphoid reconstruction revealed comparable results for both patients with and without PINN independent from the choice of bone graft. We anticipate a prophylactic value of PINN due to a potential injury or an irritation during dissection of the wrist capsule. Further research on PIN, its sensory characteristics, and its impact on wrist function is required. - Levels of evidence - III |
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| DOI: | doi:10.1016/j.bjps.2015.03.027 |
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| URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.1016/j.bjps.2015.03.027 |
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| | Volltext: http://www.sciencedirect.com/science/article/pii/S1748681515001692 |
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| | DOI: https://doi.org/10.1016/j.bjps.2015.03.027 |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| Sach-SW: | Neurectomy |
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| | Outcome |
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| | Posterior interosseous nerve |
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| | Scaphoid nonunion |
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| K10plus-PPN: | 1703812484 |
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| Verknüpfungen: | → Zeitschrift |
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¬A¬ comparative study on autologous bone grafting combined with or without posterior interosseous nerve neurectomy for scaphoid nonunion treatment / Xiong, Lingyun [VerfasserIn]; 10 April 2015 (Online-Ressource)
