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Patients undergoing trapeziectomy with LRTI or Weilby had a greater incidence of reported complications when compared with trapeziectomy alone. These results suggest an advantage of simple trapeziectomy; however, further study is warranted.

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This study evaluates the role of magnetic resonance imaging in assessing the factors affecting the rate and healing time in scaphoid nonunions after surgery. Nineteen patients were assessed before surgery by radiographs, tomography, and magnetic resonance imaging. Fifteen bad viable bone marrow and 4 patients had nonviable bone marrow on magnetic resonance imaging. All patients with normal preoperative magnetic resonance imaging healed in an average time of 4.7 months. Of the 4 patients with abnormal magnetic resonance imaging, but normal plain radiographs, 2 went on to heal in 10.5 months. The remaining 2 patients with abnormal magnetic resonance imaging and abnormal plain radiographs did not heal by 24 months. This study suggests 3 groups of scaphoid nonunions. Group 1 has normal trabecular bone radiographically and