Distal Scaphoid Resection for Degenerative Arthritis Secondary to Scaphoid Nonunion: A 20-Year Experience

Distal Scaphoid Excision in Treatment of Symptomatic Scaphoid Nonunion: Systematic Review and Meta-analysis

“…The first of these 2 patients elected to undergo wrist arthrodesis due to subluxated midcarpal joint with noteworthy midcarpal arthritis preoperatively. 14 The second patient was a 60-year-old man with diabetes, heavy smoking history, avascular necrosis of the proximal pole, and scapholunate diastasis who underwent PRC. 14 Soejima et al reported that newly developed degenerative arthritis occurred at the proximal scapholunate-capitate articulation in 1 patient who had a type II lunate.…”

“…14 The second patient was a 60-year-old man with diabetes, heavy smoking history, avascular necrosis of the proximal pole, and scapholunate diastasis who underwent PRC. 14 Soejima et al reported that newly developed degenerative arthritis occurred at the proximal scapholunate-capitate articulation in 1 patient who had a type II lunate. 23 The presence of midcarpal arthritis was noted by some articles included but was not indicated to effect long-term outcomes.…”

Clinical Faceoff: Trapeziectomy Versus Trapezium Preservation in the Management of Basilar Thumb Arthritis

“…In the presence of a solid fusion and symptomatic STT arthritis, I would resect the distal pole of the scaphoid through a volar approach. Malerich and colleagues [8] have noted largely satisfactory outcomes in the treatment of scaphoid nonunion advanced collapse wrist in long-term followup.…”

Distal Scaphoid Resection and Prosthetic Semireplacement Arthroplasty for a Scaphoid Nonunion with Degenerative Changes

“…Distal scaphoid excision is a valid treatment option for selected scaphoid nonunions requiring a salvage procedure. 1,2 Compared with proximal row carpectomy and intercarpal arthrodesis, it is technically simple to perform and reduces the immobilization period, without the risk of pseudarthrosis. A disadvantage is the risk of subsidence of the thumb.…”

“…A disadvantage is the risk of subsidence of the thumb. 1 We wish to report a case of an unemployed 29-year-old man with a scaphoid nonunion treated with distal scaphoid excision and additional interposition of a pyrocarbon implant (PI) to support the thumb. The patient was referred to our tertiary center because of untreated right-sided wrist pain, likely due to a fall over a year ago.…”