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Thirty-seven patients with inlay bone grafting for scaphoid nonunion were evaluated
before and after operation for wrist function and carpal alignment. There were 26
in whom a palmar approach had been used. The remaining 11 had been treated with a
dorsal approach. The two procedures showed a similar union rate (around 80%). The
palmar approach, however, caused a significant increase in the scapholunate angle
(p < 0.001) and in the lunocapitate angle (p < 0.05) and consequently augmented carpal collapse. The dorsal approach did not affect
carpal alignment. The surgical division of the palmar radiocarpal ligaments, which
is necessary when using a palmar approach, may be responsible for these findings.
Accordingly, a dorsal approach should be preferable to a palmar approach when a graft
is used for treatment of a scaphoid nonunion.
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Article info
Publication history
Accepted:
November 6,
1987
Received:
December 8,
1986
Footnotes
*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
Identification
Copyright
© 1988 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
