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The Archives of Bone and Joint Surgery، جلد ۱۳، شماره ۲، صفحات ۸۲-۸۶
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عنوان انگلیسی Non-repairable Scaphoid Proximal Pole Non:union: Reconstruction by Hamate Arthroplasty: A Case Series Study
چکیده انگلیسی مقاله Objectives: Non-repairable scaphoid proximal pole non:union: remains a major challenge. Various reconstructive surgical approaches have been introduced, but each one has some limitations, including microvascular anastomosis, donor site morbidities, and the risk of compromising the scapholunate ligament.Methods: This prospective interventional case series was performed on five patients. The patients underwent reconstructive surgery using proximal hamate arthroplasty by a single surgeon and were followed up for at least 12 months.Results: All patients were male and the median age was 28, and the median follow-up time was 24 months. The median Mayo score was 70, and the DASH score was 0 (no disability) in 3 patients and 15 in two patients. The median of postoperative grip strength in the operated hands was 37.3 kg (Range 36.1–39) and in the opposite hands was 42.5 kg (Range 40–45.9). However, there were significant differences between grip strength between operated and opposite hands (P value= 0.008). A reduction of 11.1% and 15% was shown in postoperative flexion and extension compared with preoperative flexion and extension (P value = 0.194, P value = 0.102).Conclusion: Hamate arthroplasty for non:union: of the scaphoid proximal pole appears to be a viable surgical option with favorable outcomes in terms of :union: rates, functional recovery, and patient satisfaction. Level of evidence: IV
کلیدواژه‌های انگلیسی مقاله Arthroplasty, non:union:, proximal scaphoid pole fracture, Reconstruction, Scaphoid fracture
نویسندگان مقاله | Mohammad Ali Okhovatpour
Department of Orthopedics, Taleghani Hospital Research Development committee, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran


| Reza Zandi
Department of Orthopedics, Taleghani Hospital Research Development committee, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran


| Ahmadreza Ahmadi Abdashti
Shahid Beheshti University of Medical Sciences, Tehran, Iran


| Meisam Jafari kafiabadi
Department of Orthopedics Surgery, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
نشانی اینترنتی https://abjs.mums.ac.ir/article_25113.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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