ArticleWorld journal of orthopedics2026
Necessity of grafting in scaphoid nonunion fixation: A comparative outcome analysis.
Article in World journal of orthopedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundScaphoid nonunion (SNU) presents substantial functional limitations, frequently necessitating surgical intervention to restore wrist mobility and prevent degenerative changes. While the traditional approach to managing SNUs has relied on open fixation combined with bone grafting, the universal necessity of grafting, especially in stable nonunion (NU), is increasingly questioned. Emerging evidence indicates that graft-less fixation can deliver favorable outcomes, with notable healing observed in such cases.
aimTo compare the outcomes of graft-less
methodsA retrospective analysis of 44 patients with stable SNUs (Slade grades I-V) managed by either graft-less (
resultsOverall UR was 81.8%. URs did not differ significantly between groups (
conclusionFixation without grafting is viable in selected stable SNUs, offering comparable union and superior function, albeit with longer HT. Bone grafting remains advantageous in cystic, long-standing, or biologically compromised NUs. Treatment should be tailored based on NU characteristics and patient factors.
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