Cannulated Screw Fixation for Scaphoid Nonunion Without Bone Grafting
Eastern Journal of Medicine, cilt.31, sa.4, ss.638-643, 2026 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 31 Sayı: 4
- Basım Tarihi: 2026
- Doi Numarası: 10.5505/ejm.2026.72602
- Dergi Adı: Eastern Journal of Medicine
- Derginin Tarandığı İndeksler: Scopus, EMBASE, TR DİZİN (ULAKBİM), Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest), Pharma Collection (ProQuest)
- Sayfa Sayıları: ss.638-643
- Anahtar Kelimeler: Fracture Fixation, Nonunion, Osteosynthesis, Scaphoid, Wrist
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Van Yüzüncü Yıl Üniversitesi Adresli: Evet
Özet
This study aimed to evaluate radiological union and clinical outcomes of patients with Slade Grade III –IV scaphoid nonunion treated with open reduction and internal fixation using a cannulated compression screw without autologous bone grafting. A retrospective cohort of patients who underwent first-time surgery for Grade III–IV scaphoid nonunion between January 2017 and May 2024 was reviewed. Union was assessed radiographically, and clinical outcomes were evaluated using the Mayo Wrist Score. Twenty-two patients (20 men, 2 women; mean age 28 years, range 18–41) were included. Union was achieved in all patients, with a mean union time of 17 weeks. The median Mayo Wrist Score improv ed from 70.5 preoperatively to 90.5 at 12 months. Outcomes were excellent in 13 (59.1%), good in 6 (27.3%), and fair in 3 (13.6%) patients. Open reduction and cannulated screw fixation without bone grafting may be an effective option for selected patients with Slade Grade III–IV scaphoid nonunion.