Dorsal and Volar Surgeries Preferred in Scaphoid Pseudorthrosis Comparison of Effects on Kinematics
Condition: Scaphoid Fracture
Study type: Interventional

Summary: 
      Our aim is to objectively analyze the effects of the non-vascularized autograft taken from
      the radius and the dorsal and volar surgical approach on the preop and postop wrist
      kinematics and the movements we use frequently in daily life, and to present the results.
    

Detailed description: 
      At least 23 working male patients between the ages of 20-50 who do not have active additional
      diseases will be included in the study, and those who have not previously had trauma or
      surgical intervention on the same extremity, and who do not have vascular and neurological
      fields, These patients will be followed-up at the itf orthopedic clinic and the medical
      faculty orthopedics clinic. their patients will be After the preop and postop union is
      provided to the patients who will be divided into 2 groups of at least 10 people (in the 12th
      month postop), the wrist motion analysis will be performed with the XSENS MTw Awinda 17
      sensor full body motion capture system in the Bahçeşehir University biomechanics laboratory
      (separate on the healthy side). In addition to the rum, 5 movements such as personal wc
      cleaning, drinking coffee from the cup will be stimulated by looking at the healthy side.
    

Intervention name(s): SCAHOİD GRAPHONAGE WITH AUTOGRAPH FROM DİSTAL RADİUS BY DORSAL APPROACH; SCAHOİD GRAPHONAGE WITH AUTOGRAPH FROM DİSTAL RADİUS BY VOLAR APPROACH
Intervention type(s): Procedure; Procedure
Intervention description(s): ON GENERAL OR LOCAL ANESTESİA PATİENT N SUPİNE POSTİON EFFECTED WRİST ON ARM TABLE . LISTER TUBERCULA WITH 3 CM PROXIMAL AND 3 CM DISTAL IN INCISION MADE UNDER THE SKIN. 2,3 EXTENSOR COMPARTMENTS RADIAL 4. THE EXTENSON COMPARTMENT IS EARTHED TO ULNAR A AND THE WRIST JOINT CAPSULE IS REACHED. THEN THE CAPSULE IS OPENED AND THE SCAPHOLID PROXIMAL AND MIDDLE POLE IS VIEWED. THE PERSODOARTHOSIS FIELD IS REGENERATED WITH THE TURRET AND TURR ENGINE. Following the same incision ON DISTAL UNDER RADIUS metaphyseal area of 2CM. 2X2 centimeter WINDOW opened to get spongios bone GREFt, greft added in to field of pseudoarthrosis.After scaphoid HEIGHT AND anatomy recovered it has fixated one headless mini acuttrack screw under fluoroscopy guidance .skin and subcutaneous tissue closed with non absorbabl sutures.; ON GENERAL OR LOCAL ANESTESİA PATİENT N SUPİNE POSTİON EFFECTED WRİST ON ARM TABLE . İNCİSİON STARTS 2 CM RADİAL TO SCAPHOİD TUBERCULE EXTENTS ITS 3 CM PROXİMAL . AFTER PASİNG SUBCUTANEOUS TİSSUE , FCR AND RADİAL ARTERY ARE İDENTİFİED AND DİVİDED SEPERATLY THEN THE CAPSULE IS OPENED AND THE SCAPHOLID PROXIMAL AND MIDDLE POLE IS VIEWED. THE PERSODOARTHOSIS FIELD IS REGENERATED WITH THE TURRET AND TURR ENGINE. Following the same incision WİTH PASSİNG PRONATOR QUADRATUS MUSCLE , ON DISTAL UNDER 2 CENTİMETER OF RADIUS metaphyseal area . 2X2 centimeter WINDOW opened to get spongios bone GREFt, greft added in to field of pseudoarthrosis.After scaphoid HEIGHT AND anatomy recovered it has fixated one headless mini acuttrack screw under fluoroscopy guidance .skin and subcutaneous tissue closed with non absorbabl sutures.
Allocation: Non-Randomized
Intervention model: Parallel Assignment
Intervention model description: PROSPECTIVE CLİNİCAL TRİAL
Masking: Single (Participant)
Primary purpose: Other