Repeat Russe bone grafting after failed bone graft surgery for scaphoid non-union

J Hand Surg Br. 1995 Jun;20(3):373-8. doi: 10.1016/s0266-7681(05)80096-8.

Abstract

We report the long-term outcome of repeat Russe bone grafting after failure of a previous Russe graft for scaphoid non-union. 15 patients were followed for a mean of 71 months after their last surgical procedure. 11 patients had undergone a single previous Russe graft and four patients had two previous graft attempts. Internal fixation was used in only three patients. Eight out of 15 (53%) patients achieved union after a single repeat graft and one out of four united after a third attempt. When union was achieved, range of motion was unchanged, grip strength was increased 10% and pain was slight to none, allowing return to full employment in seven out of the nine patients. All patients who did not achieve union have either undergone a salvage procedure or are contemplating one. Based on the literature and our relatively low rate of union without internal fixation (53%), we recommmend supplementary internal fixation if repeat Russe bone grafting is undertaken. When union is achieved, satisfactory results can be expected.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Bone Transplantation / methods*
  • Carpal Bones / diagnostic imaging
  • Carpal Bones / injuries*
  • Carpal Bones / surgery
  • Female
  • Follow-Up Studies
  • Fractures, Ununited / diagnostic imaging
  • Fractures, Ununited / surgery*
  • Humans
  • Male
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / surgery*
  • Radiography
  • Reoperation
  • Treatment Failure