Percutaneous fixation without grafting in stable scaphoid nonunions

Ertem H., Zengin Ç., Davulcu C. D. , Saruhan S.

Hand and Microsurgery, cilt.1, sa.9, ss.7-12, 2020 (Diğer Kurumların Hakemli Dergileri)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 1 Konu: 9
  • Basım Tarihi: 2020
  • Doi Numarası: 10.5455/handmicrosurg.70922
  • Dergi Adı: Hand and Microsurgery
  • Sayfa Sayıları: ss.7-12


Objectives: Assessing the clinical and radiological outcomes of patients with stable scaphoid nonunions who underwent percutaneous fixation without grafting. Methods: Twenty stable scaphoid nonunion patients treated in our hospital between 2014-2017. All patients treated with percutaneous fixation without grafting. Patients were evaluated functionally and radiologically retrospectively during the follow up period. Results: Mean age was 26.7. Mean follow up time was 41.3 months. 14 patients were in the waist region and 6 patients were in the proximal pole. According to Slade and Dodds classification; 14 patients were grade 4 and 6 patients were grade 3 nonunions. Union occurred in 16 of 20 patients, but not union in 4 patients. Mean radiological union time was 12 weeks in 16 patients. Conclusion: Percutaneous screwing without grafting may be a preferred treatment for stable scaphoid nonunions with minimal sclerosis and a small cystic component. Location of the fracture, cystic changes, nonunion duration, and alignment should be considered in treatment planning. Key words: Nonunion, percutaneous fixation, scaphoid