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Deutscher Kongress für Orthopädie und Unfallchirurgie
74. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie
96. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie
51. Tagung des Berufsverbandes der Fachärzte für Orthopädie und Unfallchirurgie

26. - 29.10.2010, Berlin

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Minimal 10 years follow up after Matti Russe procedure for scaphoid non-union

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  • T. Gosens - St Elisabeth Hospital Tilburg, Orthopaedics and Traumatology, Tilburg, Netherlands
  • E. van Tankeren - St Elisabeth Hospital Tilburg, Orthopaedics and Traumatology, Tilburg, Netherlands

Deutscher Kongress für Orthopädie und Unfallchirurgie. 74. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie, 96. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie, 51. Tagung des Berufsverbandes der Fachärzte für Orthopädie. Berlin, 26.-29.10.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. DocIN22-173

doi: 10.3205/10dkou137, urn:nbn:de:0183-10dkou1376

Published: October 21, 2010

© 2010 Gosens et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

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Objective: The long term results of a Matti Russe procedure are not known in relation to degenerative arthritis and function in daily life. We retrospectively studied our results of the Matti Russe procedure for scaphoid non-unions.

Methods: We identified 60 patients from our database with a follow up longer than 10 years after the procedure. Patients were analysed using strength measurements (Jamar, pinch grip), a mobility score, functional and participation scores (DASH, MHQ). Also radiographs were taken and judged for union and arthritis.

Results and conclusions: Union was achieved in 60%.Those patients with a union of the scaphoid had limitation of wrist motion but no functional complaints, whereas those with ongoing non-union developed osteoarthritis with pain and stiffness, necessitating arthrodesis of the wrist in 80%.

Although union was obtained in most of the patients we saw progressive osteoarthritis in a fairly large group at the long term follow up.