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. 2019 Nov 27:19:63-66.
doi: 10.1016/j.jor.2019.11.030. eCollection 2020 May-Jun.

Modified Matti-Russe technique using a "butterfly bone graft" for treatment of scaphoid non-union

Rocco De Vitis  1   2 , Marco Passiatore  1   2 , Andrea Perna  1   2 , Antonio Tulli  1   2 , Antonio Pagliei  1   2 , Giuseppe Taccardo  1   2
Affiliations

Modified Matti-Russe technique using a "butterfly bone graft" for treatment of scaphoid non-union

Rocco De Vitis et al. J Orthop. .

Abstract

Introduction: Autologous bone grafts are used to treat scaphoid non-union with shortening and humpback deformity. The superiority of internally fixed bone graft to embedded bone graft has not been clearly proven.

Methods: Retrospectively analyzed 42 cases of scaphoid waist non-union treated using the "butterfly bone graft" (modified Matti-Russe technique).

Results: Complete healing was reached by all patients, with an average time of 4.4 (SD ± 0.7) months. Mayo Wrist Score improved from and QuickDASH score significantly improved in all patients after treatment.

Conclusions: Butterfly bone graft is effective and reliable in treating scaphoid non-union with shortening and humpback deformity.

Keywords: Bone graft; Fracture healing; Humpback deformity; Nonunion; Scaphoid; Scaphoid non-union.

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Conflict of interest statement

The authors report no conflicts of interest and no source of funding.

Figures

Fig. 1
Fig. 1
Carpal disarrangement caused by scaphoid humpback deformity.
Fig. 2
Fig. 2
Butterfly bone graft before being inserted.
Fig. 3
Fig. 3
The housing of the bone graft is exposed (a). The bone graft is embedded using hammer (b). Bone graft embedded (c). Butterfly bone graft on X-Ray (d).
See this image and copyright information in PMC

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