Functional results and quality of life after bilateral scaphoid reconstruction

• Verfasst von: Corsten, Marcus [VerfasserIn]
• Verfasst von: Heffinger, Christian [VerfasserIn]
• Verfasst von: Harhaus-Wähner, Leila [VerfasserIn]
• Verfasst von: Lehnhardt, Marcus [VerfasserIn]
• Verfasst von: Bickert, Berthold [VerfasserIn]
• Verfasst von: Hirche, Christoph [VerfasserIn]
• Titel: Functional results and quality of life after bilateral scaphoid reconstruction
• Titelzusatz: a case series
• Verf.angabe: Marcus Corsten, Christian Heffinger, Leila Kolios, Marcus Lehnhardt, Berthold Bickert, Christoph Hirche
• Jahr: 2013
• Jahr des Originals: 2012
• Umfang: 4 S.
• Fussnoten: Published online: 4 November 2012 ; Gesehen am 12.05.2021
• Titel Quelle: Enthalten in: Archives of orthopaedic and trauma surgery
• Ort Quelle: Berlin : Springer, 1903
• Jahr Quelle: 2013
• Band/Heft Quelle: 133(2013), 2, Seite 283-286
• ISSN Quelle: 1434-3916
• DOI: doi:10.1007/s00402-012-1642-0
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1757712844

Abstract

Unilateral scaphoid non-union remains a major problem, which can lead to major functional limitations. Until now there is no evidence of outcome of the rare case of bilateral scaphoid non-unions and in how far two-stage bilateral reconstruction affects functional results and the quality of life. Between 1997 and 2010, altogether four bilateral scaphoid non-unions were treated in the centre and retrospectively analyzed. The mean follow-up was performed 36.8 months after reconstruction. The measures included analysis of patient data, analysis of functional measures and quality of life after follow-up. The reconstructions were performed with implantation of a free, non-vascularized iliac crest bone graft (4), osteosynthesis with implantation of a pedicled vascularized bone graft (3) and osteosynthesis with cancellous bone graft (1). The mean range of motion of the wrist was extension/flexion 111.3°. The average grip strength by JAMAR dynamometer showed right versus left sight 32.7 kg (±3.5) versus 33.7 (±2.9). The evaluation of the DASH score resulted in 11.6 (±12.5), the SF36 scale in 87.1 (±9.2) points. The present case series for the first time demonstrated functional mid-term results of the rare event of bilateral scaphoid reconstruction after non-union. With respect to the impact on one affected hand, functional results, DASH score and quality of life are excellent and thus justify good prognosis in patient education after injury.