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Original Article



Scaphoid Pseudoarthrosis Treatment Without Bone Grafting

Mehmet Türker, Erdinç Acar, Numan Atılgan, Burkay Kutluhan Kaçıra.




Abstract

Objectives: In the present study, we aimed to evaluate the postoperative changes in pain, function, and scapholunate angle in patients who underwent percutaneous headless compression screw fixation (PHCSF) without bone grafting for scaphoid pseudoarthrosis (SP).
Patients and Methods: Thirty-three patients (31 males, 2 females; mean age: 27.64±9.85 years; range, 16 to 59 years) with scaphoid pseudoarthrosis who underwent percutaneous headless compression screw fixation without bone grafting between January 2010 and December 2017 were retrospectively analyzed. The Quick Disabilities of the Arm, Shoulder and Hand (Q-DASH) questionnaire, Visual Analog Scale (VAS) were used, and scapholunate angle measurements were performed.
Results: The union rate was (87.9%), and the mean time to union was 14.0±1.9 weeks. Postoperative VAS and Q-DASH scores were significantly lower than baseline (p

Key words: Scaphoid pseudoarthrosis, percutaneous headless compression screw fixation, Visual Analog Scale, Quick Disabilities of the Arm, Shoulder and Hand, scapholunate angle.






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