• Injury · Dec 2020

    Review

    Fibulo-scapho-lunate fusion after resection of the distal radius: Case series, review of the literature and critical analysis of bone fixation.

    • Pierluigi Tos, Simona Odella, Alessandro Crosio, Davide Ciclamini, Raimondo Piana, Stefano Bastoni, and Primo Andrea Daolio.
    • Hand Surgery and Reconstructive Microsurgery Department, ASST Gaetano Pini, CTO, Milan, Itlay.
    • Injury. 2020 Dec 1; 51 (12): 2893-2899.

    AbstractFibulo-scapho-lunate fusion is a technique that allows residual movement in the wrist in case of wide bone resection replacing the distal radius by a vascularised fibular transfer. Some authors have used this technique with favourable results but the distal synthesis seems to not be standardised at all, many different osteosynthesis methods have been proposed. This paper reports a complete review of the present day literature about this subject and, evaluating the different proposed osteosynthesis techniques referred in literature, suggests a standardization of the synthesis methods with dorsal plating. We report some technical considerations and results of three cases operated with a stable dorsal osteosynthesis (twice with a double plate and once with a long plate). We evaluate the time of healing and the clinical result.Copyright © 2020. Published by Elsevier Ltd.

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