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Percutaneous fixation without grafting in stable scaphoid nonunions

Hakan Ertem, Eyüp Çağatay Zengin, Cumhur Deniz Davulcu, Cavit Sertaç Saruhan.

Abstract
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


 
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How to Cite this Article
Pubmed Style

Ertem H, Zengin EC, Davulcu CD, Saruhan CS. Percutaneous fixation without grafting in stable scaphoid nonunions. Hand Microsurg. 2020; 9(1): 7-12. doi:10.5455/handmicrosurg.70922


Web Style

Ertem H, Zengin EC, Davulcu CD, Saruhan CS. Percutaneous fixation without grafting in stable scaphoid nonunions. http://handmicrosurgeryjournal.com/?mno=70922 [Access: April 13, 2020]. doi:10.5455/handmicrosurg.70922


AMA (American Medical Association) Style

Ertem H, Zengin EC, Davulcu CD, Saruhan CS. Percutaneous fixation without grafting in stable scaphoid nonunions. Hand Microsurg. 2020; 9(1): 7-12. doi:10.5455/handmicrosurg.70922



Vancouver/ICMJE Style

Ertem H, Zengin EC, Davulcu CD, Saruhan CS. Percutaneous fixation without grafting in stable scaphoid nonunions. Hand Microsurg. (2020), [cited April 13, 2020]; 9(1): 7-12. doi:10.5455/handmicrosurg.70922



Harvard Style

Ertem, H., Zengin, . E. C., Davulcu, . C. D. & Saruhan, . C. S. (2020) Percutaneous fixation without grafting in stable scaphoid nonunions. Hand Microsurg, 9 (1), 7-12. doi:10.5455/handmicrosurg.70922



Turabian Style

Ertem, Hakan, Eyup Cagatay Zengin, Cumhur Deniz Davulcu, and Cavit Sertac Saruhan. 2020. Percutaneous fixation without grafting in stable scaphoid nonunions. Hand and Microsurgery, 9 (1), 7-12. doi:10.5455/handmicrosurg.70922



Chicago Style

Ertem, Hakan, Eyup Cagatay Zengin, Cumhur Deniz Davulcu, and Cavit Sertac Saruhan. "Percutaneous fixation without grafting in stable scaphoid nonunions." Hand and Microsurgery 9 (2020), 7-12. doi:10.5455/handmicrosurg.70922



MLA (The Modern Language Association) Style

Ertem, Hakan, Eyup Cagatay Zengin, Cumhur Deniz Davulcu, and Cavit Sertac Saruhan. "Percutaneous fixation without grafting in stable scaphoid nonunions." Hand and Microsurgery 9.1 (2020), 7-12. Print. doi:10.5455/handmicrosurg.70922



APA (American Psychological Association) Style

Ertem, H., Zengin, . E. C., Davulcu, . C. D. & Saruhan, . C. S. (2020) Percutaneous fixation without grafting in stable scaphoid nonunions. Hand and Microsurgery, 9 (1), 7-12. doi:10.5455/handmicrosurg.70922








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