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Journals / Hand and Microsurgery / 2020 / Cilt: 9 - Sayı: 1

Percutaneous fixation without grafting in stable scaphoid nonunions

Hakan ERTEM
Eyüp Çağatay ZENGİN
Cavi̇t Sertaç SARUHAN
Cumhur Deni̇z DAVULCU
Pages
7–12
Publication Date
2022-10-19
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Location of the fracture, cystic changes, nonunion duration, and alignmentshould be considered in treatment planning.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: Assessing the clinical and radiological outcomes of patients with stable scaphoid nonunions who underwentpercutaneous fixation without grafting.Methods: Twenty stable scaphoid nonunion patients treated in our hospital between 2014-2017.
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Key Findings & Data:Patients were evaluated functionally and radiologically retrospectively during thefollow up period.Results: Mean age was 26.7.
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Conclusion & Impact:Location of the fracture, cystic changes, nonunion duration, and alignmentshould be considered in treatment planning.
🔬Design:Research Article
📍Scope:2014-2017 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: Assessing the clinical and radiological outcomes of patients with stable scaphoid nonunions who underwentpercutaneous fixation without grafting.Methods: Twenty stable scaphoid nonunion patients treated in our hospital between 2014-2017. All patients treated withpercutaneous fixation without grafting. Patients were evaluated functionally and radiologically retrospectively during thefollow 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 patientswere in the proximal pole. According to Slade and Dodds classification; 14 patients were grade 4 and 6 patients were grade3 nonunions. Union occurred in 16 of 20 patients, but not union in 4 patients. Mean radiological union time was 12 weeksin 16 patients.Conclusion: Percutaneous screwing without grafting may be a preferred treatment for stable scaphoid nonunions withminimal sclerosis and a small cystic component. Location of the fracture, cystic changes, nonunion duration, and alignmentshould be considered in treatment planning.

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Cite This Article

ERTEM, H., ZENGİN, E. Ç., SARUHAN, C. S., DAVULCU, C. D. (2022). Percutaneous fixation without grafting in stable scaphoid nonunions. Hand and Microsurgery, Cilt: 9 - Sayı: 1, 7–12. https://ajindex.com/articles/533893

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