[Comparative study between the Fisk-Fernández and Matti-Russe techniques for the management of carpal scaphoid pseudoarthrosis].

OBJECTIVE

To assess the treatments for carpal scaphoid pseudoarthrosis with the Matti-Russe and Fisk-Fernández techniques taking as a reference the most widely used technique, i.e., fixation with Kirschner wire with a corticocancellous bone graft. The bone healing rates reported by different series using this procedure do not exceed 70%, especially in cases in which the proximal scaphoid fragment is compromised. The healing rate with the Fisk-Fernández technique was 90-97%. Twelve males and one female were operated on at the National Rehabilitation Institute; the age range was 18-58 years (mean age 32 years). Thirteen patients had bone healing after week 12.

CONCLUSION

This is an easy, quick, and functional procedure, but patient cooperation is required for rehabilitation and return to work.