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Introduction The treatment of scaphoid nonunion is still a challenge for hand surgeons. Nonunion rate of scaphoid fractures varies between 5% and 15%. 1 Due to tenuous retrograde blood supply of the scaphoid, this rate can increase up to
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orthopaedic surgery, and persisting nonunion after surgery for scaphoid nonunion. Methods Search strategy and selection criteria For this systematic review and meta-analysis, the review process was conducted according to the Preferred Reporting
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Intercarpal arthrodesis is a well-recognised treatment option and a time-tested procedure. The various partial fusions of the carpus are performed most commonly for arthritis, scaphoid nonunion, Kienböck’s disease, chondrocalcinosis, and carpal
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patients with post-traumatic radial-sided wrist pain. 1 , 2 Scaphoid fractures are notorious for being difficult to diagnose as well as to achieve fracture union. The serious consequences of non-union, such as progressive degenerative changes and
Department of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden
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The Swedish National Patient Insurance Company, Stockholm, Sweden
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Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden
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scaphoid nonunions with carpal instability . Journal of Hand Surgery 1984 9 733 – 737 . ( https://doi.org/10.1016/s0363-5023(8480025-8 ) 18 Daly K Gill P Magnussen PA Simonis RB . Established nonunion of the scaphoid treated by volar wedge
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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motion and weakness. As shown in Fig. 1a , a non-union of the scaphoid was present on the CT-scan six months after the injury. To avoid long-term wrist problems, further surgical treatment was planned. Fig. 1a CT-scan showing a non-union of the
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Ceulemans LJ Nam D Axelrod TS . Proximal row carpectomy vs four corner fusion for scapholunate (SLAC) or scaphoid nonunion advanced collapse (SNAC) wrists: a systematic review of outcomes . J Hand Surg Eur Vol 2009 ; 34 : 256 - 263
Department of Orthopaedics and Traumatology, Freiburg University Hospital, Freiburg, Germany.
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. J Orthop 2015 ; 12 : S182 – S187 . 35. Rahimnia A Rahimnia A-H Mobasher-Jannat A . Clinical and functional outcomes of vascularized bone graft in the treatment of scaphoid non-union . PLoS One 2018 ; 13 :e
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injury or non-union itself on the patient’s daily activities and ongoing fracture management. This is highlighted in the differing efficacy in complex lower limb injuries as compared to scaphoid non-unions. Lower limb injuries affect weight
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Department of Trauma & Orthopaedics, University of Leeds, Leeds, United Kingdom of Great Britain and Northern Ireland
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fixation ( 25 ). The scaphoid represents another common site where cortical bone graft is frequently employed. Huang et al. achieved a 94% union rate in their series of 49 scaphoid non-unions treated with iliac crest bone graft and fixation with a Herbert
