Evidence map›Paper›PMID 40958817›Full record

ArticleActa ortopedica brasileira2025

PLATE USING CANCELLOUS GRAFT VERSUS SCREW USING CANCELLOUS CORTICAL GRAFT IN THE TREATMENT OF SCAPHOID PSEUDARTHROSIS.

Erick Yoshio Wataya, Antonio Isidoro Sousa, Thales Augusto Tomé, Joao Carlos Nakamoto, Marcelo Rosa de Rezende, Rames Mattar

Abstract read
In one paragraph

Article in Acta ortopedica brasileira, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Erick Yoshio WatayaUniversidade de Sao Paulo, Faculdade de Medicina, Instituto de Ortopedia e Traumatologia (IOT HCFMUSP), Grupo de Cirurgia da Mao e Microcirurgia Reconstrutiva, Sao Paulo, SP, Brazil.ORCID https://orcid.org/0000-0002-0186-8480
Antonio Isidoro SousaUniversidade de Sao Paulo, Faculdade de Medicina, Instituto de Ortopedia e Traumatologia (IOT HCFMUSP), Grupo de Cirurgia da Mao e Microcirurgia Reconstrutiva, Sao Paulo, SP, Brazil.ORCID https://orcid.org/0009-0005-5522-8402
Thales Augusto ToméUniversidade de Sao Paulo, Faculdade de Medicina, Instituto de Ortopedia e Traumatologia (IOT HCFMUSP), Grupo de Cirurgia da Mao e Microcirurgia Reconstrutiva, Sao Paulo, SP, Brazil.ORCID https://orcid.org/0009-0005-4369-115X
Joao Carlos NakamotoUniversidade de Sao Paulo, Faculdade de Medicina, Instituto de Ortopedia e Traumatologia (IOT HCFMUSP), Grupo de Cirurgia da Mao e Microcirurgia Reconstrutiva, Sao Paulo, SP, Brazil.ORCID https://orcid.org/0000-0003-4780-827X
Marcelo Rosa de RezendeUniversidade de Sao Paulo, Faculdade de Medicina, Instituto de Ortopedia e Traumatologia (IOT HCFMUSP), Grupo de Cirurgia da Mao e Microcirurgia Reconstrutiva, Sao Paulo, SP, Brazil.ORCID https://orcid.org/0000-0003-3441-8117
Rames MattarUniversidade de Sao Paulo, Faculdade de Medicina, Instituto de Ortopedia e Traumatologia (IOT HCFMUSP), Grupo de Cirurgia da Mao e Microcirurgia Reconstrutiva, Sao Paulo, SP, Brazil.ORCID https://orcid.org/0000-0003-4202-4652

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To make a comparative analysis of patients with scaphoid pseudarthrosis operated with screw and corticocancellous graft and patients operated with plate and cancellous graft only, in regards to consolidation, carpal stability and limb functionality. Methods: non-randomized retrospective cohort study. Nineteen patients with scaphoid pseudarthrosis without advanced collapse were included in the study, of which 9 patients operated with screw and corticocancellous graft (Group A) and 10 operated with plate using cancellous graft (Group B). The following were evaluated preoperatively and 12 weeks postoperatively: functional recovery using the visual analogue scale, range of motion, grip strength, digital pinch strength, DASH and MAYO wrist score functional scales. To assess carpal instability, the scapholunate and radiolunate angles were assessed on radiographs and the interscaphoid angle on CT. And the bone consolidation rate was assessed with CT in the 8th postoperative week. Results: group A with 90% and B with 100% consolidation rate, however the latter with a longer average time for consolidation - 9.7 weeks (p = 0.002). Improvement in pain intensity was achieved in both groups (p = 0.03). Increased pinch strength (p=0.04) and grip strength in group B and decreased in group A. The range of motion was superior in group B, with loss of ulnar deviation (p=0.02) and radial deviation (p=0.007) in group A. Regarding the MAYO wrist score, there was loss of function in group A and an increase in group B (p=0.007). There was correction of the scapholunate angle in both groups (p=0.03), with no difference between them. Conclusions: Patients in group B had better recovery of range of motion, pinch and grip strength, and better functionality according to the MAYO wrist score.

Indexed as

AutograftsBone PlatesBone TransplantationPseudarthrosisScaphoid Bone

Identifiers

PMID40958817
PMCPMC12435863

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.