COMPARISON OF DIFFERENT TREATMENT METHODS IN SCAPHOID PSEUDOARTHROSIS

In this study we compare the results of various methods of treatment i n 159 patients who were operated on between 1980 and 1990 for scaphoid pseudarthrosis at the Budapest Central Institute for Traumatology, Ra ted subjectively, 84% of the results of the Russe-I plasty were regard ed as good, as were 75% of the: spongiosaplasty, 88% of the Ender plat e synthesis, and 75% of the AO navicular screw. Of the palliative meth ods retaining movement, denervation with styloidectomy yielded good re sults, Silicon prosthesis and proximal pole resection only led to temp orary improvement. In patients with severe radiocarpal arthrosis who d o heavy work, even today radiocarpal stiffening is regarded as the pro cedure of choice, In our experience, the best functional results can b e expected when immobilization is as short as possible and fixation as stable as possible-which corresponds to Ender plate synthesis accordi ng to our results.