ArticleThe Journal of hand surgery, European volume2019
The outcome of bone graft surgery for nonunion of fractures of the scaphoid.
Article in The Journal of hand surgery, European volume, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The effects of smoking on the management of scaphoid acute fractures and non-unions-a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Mesenchymal stem cells therapy for the treatment of non-union fractures: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2025Pooled it
- Can we avoid casting for suspected scaphoid fractures? A multicenter randomized controlled trial.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Trial
- Outcomes of Scaphoid Nonunions following Fixation with Headless Compression Screws: A Retrospective Cohort.Journal of wrist surgery · 2026Article
- Risk factors for scaphoid nonunion in acute fractures treated with cast immobilization.Bone & joint open · 2026Article
- Arthroscopic bone grafting in scaphoid fracture nonunion: Is it a universal solution?Journal of hand and microsurgery · 2025Review
- A Small Ratio of Proximal to Distal Bone Fragments Is a Risk Factor for Scaphoid Nonunion: A Volumetric Analysis of Preoperative CT.Journal of wrist surgery · 2025Article
- Vascularized Versus Non-vascularized Bone Grafting for Scaphoid Non-union: A Meta-Analysis.Cureus · 2025Review
- Should we always perform scaphoid nonunion surgery in patients with minor preoperative symptoms?The Journal of hand surgery, European volume · 2024Article
- Distal Scaphoid Excision for Chronic and Nonchronic Scaphoid Fracture Nonunion.Journal of hand surgery global online · 2024Article
- Vascularised versus non-vascularised bone graft for scaphoid nonunion: Meta-analysis of randomised controlled trials and comparative studies.JPRAS open · 2023Review
- Arthroscopic Treatment of Capitate Nonunion: A New Technique.Journal of wrist surgery · 2022Article
- Piezoelectric Bone Surgery. Overview in Applications and Proof of Feasibility in Hand and Plastic Surgery.Indian journal of orthopaedics · 2022Article
- Pedicled vascularized bone grafts compared with xenografts in the treatment of scaphoid nonunion.International orthopaedics · 2021Article
- The presentation, diagnosis and management of non-traumatic wrist pain: an evaluation of current practice in secondary care in the UK NHS.Rheumatology advances in practice · 2020Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
Data on 806 patients undergoing bone graft surgery for a scaphoid fracture nonunion were retrospectively collected at 19 centres in the United Kingdom. Each centre contributed at least 30 cases. Sufficient data were available in 462 cases to study factors that influenced the outcome of surgery. Overall union occurred in at least 69%, and nonunion in at least 22%, with 9% of cases having 'uncertain union status'. Union appeared to be adversely influenced by smoking and the time between acute scaphoid fracture and nonunion surgery, with adjusted odds ratios of 1.8 and 2.4, respectively, but neither achieved the pre-determined significance level of 0.003. The type of bone graft (vascular vs non-vascular; iliac crest vs distal radius) did not appear to influence outcome. Further large multicentre prospective studies with clear definitions of 'union' and other factors are needed to clarify whether modification of surgical technique can influence union.
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Registered trials
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