Comparison of the results of percutaneous and open screw fixation in the treatment of scaphoid nonunion fractures

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dc.contributor.authorAtilgan, N.
dc.contributor.authorDuman, N.
dc.contributor.authorColak, T. S.
dc.contributor.authorKorucu, I. H.
dc.contributor.authorDemiryurek, M.
dc.contributor.authorYilmaz, M.
dc.date.accessioned2024-02-23T14:49:31Z
dc.date.available2024-02-23T14:49:31Z
dc.date.issued2022
dc.departmentNEÜen_US
dc.description.abstractOBJECTIVE: Our study aims to compare the clinical results of percutaneous screw fixation and non-vascularized bone graft-ing with open screw fixation in patients who did not achieve union due to failure in diagnosis and treatment after a scaphoid fracture. PATIENTS AND METHODS: Forty-three pa-tients with scaphoid nonunion fractures cor-responding to the first three Slade and Dodds classification were divided into two groups. Non-vascularized bone grafting with open re-duction and internal fixation (ORIF) was applied to 24 patients in the first group, and 19 patients in the second group were treated with a closed reduction and internal fixation (CRIF) (percu-taneous screw fixation). The patients were fol-lowed up for preoperative and postoperative functional scores and time to union.RESULTS: Our study found that the scaphoid was most commonly fractured in the waist of the scaphoid. In our study, we found that distal scaphoid fractures had the highest union rate (100%), followed by the waist fractures (93.2%) and the weakest union (50%) in the proximal pole fractures. We observed that the fastest union had occurred in the fractures of the waist. We also ob-served that the union was completed earlier in patients who operated with ORIF than those with CRIF. We found union in 87.5% of patients who underwent ORIF, in 84.2% of patients who under-went CRIF. CRIF operation duration was short-er than expected from ORIF operation duration.CONCLUSIONS: We found that similar union rates could be achieved in the patient groups who underwent percutaneous and open screw fixation by selecting the appropriate patient in scaphoid nonunion fractures. Union was faster and functional results were more satisfactory in the ORIF group. The operation time was shorter in the CRIF group.en_US
dc.identifier.endpage9211en_US
dc.identifier.issn1128-3602
dc.identifier.issue24en_US
dc.identifier.pmid36591832en_US
dc.identifier.scopus2-s2.0-85145345073en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage9204en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12452/18239
dc.identifier.volume26en_US
dc.identifier.wosWOS:000914641100017en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherVerduci Publisheren_US
dc.relation.ispartofEuropean Review For Medical And Pharmacological Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectScaphoiden_US
dc.subjectNonunionen_US
dc.subjectOrif (Open Reduction And Internal Fixation)en_US
dc.subjectCrif (Closed Reduction And Internal Fixation)en_US
dc.titleComparison of the results of percutaneous and open screw fixation in the treatment of scaphoid nonunion fracturesen_US
dc.typeArticleen_US

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