Percutaneous fixation without grafting in stable scaphoid nonunions

Hakan Ertem; Eyüp Çağatay Zengin; Cumhur Deniz Davulcu; Cavit Sertaç Saruhan

doi:10.5455/handmicrosurg.70922

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Original Article
Online Published: 29 Dec 2019

Hand Microsurg. 2020; 9(1): 7-12

doi: 10.5455/handmicrosurg.70922

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. https://handmicrosurgeryjournal.com/?mno=70922 [Access: September 13, 2024]. 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 September 13, 2024]; 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 Cağatay 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 Cağatay 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

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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About Hand and Microsurgery Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more. For best results, please use Internet Explorer or Google Chrome.	Contact Information