J Jpn Soc Surg Hand 28 4 285-2882012

Zaidemberg Makino

Zaidemberg Z 31 Makino M 21MRI 28 16 25 17 6 4 k-wire 16 0 headless screw 15 21 Cooney score 82.7 point 86.0 point M 28 90.3 18 85.7 Z humpback deformity Z M

17.8 684 14.8 639 7.0

0.2534 8.1 0.2550 1 12 11 15 3 4 5 16 6 105 18 12 3 4 4 6 screw 3 4 MRI 28 15 T1/T2 low signal 16 4 5 MRI 28 16 90.376.2 25 17 6 4 Kirschner-wirek-wire 16 0 headless screw 15 21 screw 1 3

Cooney Modified Green OBrien4 X CT DISI x 2 t P

Zaidemberg Makino 286

1Z M Cooney score

82.7 point86.0 point Excellent 9 10Good 15 8 Fair 6 3 Poor 1 0 P=0.0147P=0.0018 M P=0.0150

P=0.0091 M 89.386.5 73.576.1

Z ; P=0.0177M ; P=0.0427M CRPSextensor pollicis longusEPL 1

28 90.318 85.7 DISI 3.7 5.3 x 71.6 mm253.6 mm2 Z 6 Z M 3 k-wire 2 screw 4 5 1 screw

34 8humpback deformity

Z screw 6 Cooney score 80point 1

Z M Z 5 92.814 6 8010 M 2 1004 4 7 10031 Z k-wire Z M screwZ 90.3M 85.7

1Z 1 cm M CM Z M Z M Z M

6 2 k-wire headless screw screw 7 k-wire screw 26 Chang 8screw

6

Zaidemberg Makino 287

humpback de-formity Z M Jones 9Z

7

Zaidemberg Makino 288

F 40 100Gray 10humpback deformityF M Z F Z Jones 9 1-G. 1-H

1.

Zaidemberg 31 Makino 21

2. M Z

3. Humpback deformity Z M

1 Zaidemberg C, et al. A new vascularised bone graft for

scaphoid nonunion. J Hand Surg 16-A: 474-478, 1991. 2

2 17: 50-54, 2004

3 25: 67-71, 2008

4 Cooney WP, et al. Difficult wrist fractures. Clin Orthop 214: 136-147, 1987.

5 24: 74-78, 2007

6 20: 616-620, 2003

7 K-wire screw 24: 70-73, 2007

8 Chang MA, et al. The Outcomes and Complications of 1,2-Intercompartmental Supraretinacular Artery Pedicled Vascularized Bone Grafting of Scaphoid Nonunions. J Hand Surg 31A: 387-396, 2006.

9 Jones DB, et al. Treatment of Scaphoid Waist Nonunions with an Avascular Proximal Pole and Carpal Collapse. Surgical Technique. JBJS 91: 169-183, 2009.

10 Gray RRL, et al. Vascularized Bone Grafting of Scaphoid Nonunions. Oper Tech Sports Med 18: 155-162, 2010.

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