Home > Journals > Minerva Ortopedica e Traumatologica > Past Issues > Minerva Ortopedica e Traumatologica 2005 August;56(4) > Minerva Ortopedica e Traumatologica 2005 August;56(4):343-9

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

MINERVA ORTOPEDICA E TRAUMATOLOGICA

A Journal on Orthopedics and Traumatology


Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
Indexed/Abtracted in: EMBASE, Scopus, Emerging Sources Citation Index


eTOC

 

UPDATES ON SHOULDER ARTHROPLASTY  102nd CONGRESS OF THE PIEMONTESE-LIGURIAN-LOMBARD SOCIETY OF ORTHOPEDICS AND TRAUMATOLOGY (S.P.L.L.O.T.) - Brescia September 9-10, 2005
NEW TECHNOLOGIES, MODERN INSTRUMENTARIUM IN ARTHROPLASTIC SURGERY


Minerva Ortopedica e Traumatologica 2005 August;56(4):343-9

language: Italian

Prosthetic scaphoid replacement by pyrocarbon adaptrive proximal scaphoid implant

Berzero G. F., Grandis C.

Centro di Chirurgia della Mano Istituto Ortopedico Galeazzi, Milano


PDF  


Aim. The authors present their series of prosthetic partial scaphoid replacement by pyrocarbon adaptive partial scaphoid implant (APSI), recently proposed by Pequignot and Allieu.
Methods. This device was employed for 71 cases (51 pseudoarthrosis, 11 scaphoid nonunion advanced collapse, 4 siliconytis, 4 scapholunate advanced collapse, 1 luxation of another prosthesis). The clinic evaluation was performed utilizing Krimmer’s test considering an average follow up of 3 years; X-ray controll was evaluated on the heigt of the carpus and the radio-lunate angle while adaptive implant mobility was considered in dynamyc radiograms. Dorsal approach was used on 32 cases, volar on 22, lateral on 15, 2 cases were operate on by arthroscopic access.
Results. Pain disappeared in 44 patients (63.4%), was relieved in 19 patients (26.8%), and was unchanged in 6 patients (9.8%). Range of motion was improved in flexion and extension in many patients; nor luxation, nor serious complications was up to now observed and Krimmer score demonstrated a good functional improvement in almost all cases.
Conclusion. The results seem encouraging us in following this experience, considering its reversible characteristics compared with more invasive procedures and eventually in extending arthroscopic indication so to ulteriorly moore reduce temporary post surgery invalidation.

top of page

Publication History

Cite this article as

Corresponding author e-mail