Most scaphoid non-unions heal with bone chip grafting and Kirschner-wire fixation

Results of Iliac Bone Graft with Kirschner Wire Fixation for Scaphoid Nonunions

“…They concluded that Standard Acutrak screw might be a better option followed by the Mini-Acutrak screw and a pair of parallel 0.045-inch K-wire s when treating scaphoid nonunions. Although compression screw was more stable than K-wire s fixation in the biomechanical study, several clinical studies have shown similar results between compression screw and K-wire s with union rates ranging from 55% to 97% [13][14][15] . The overall union rate of scaphoid nonunion treated by Herbert screw and bone grafting was 84% 19 .…”

“…Although compression screw showed more stable than K-wires fixation on biomechanical study 12 , several studies showed similar clinical results between compression screw and K-wires [13][14][15] . The purpose of this study was to evaluate the clinical and radiographic results of iliac bone grafting with K-wire fixation for treating scaphoid nonunion.…”

Excellent Results After Bone Grafting and K-Wire Fixation for Scaphoid Nonunion Surgery in Skeletally Immature Patients

“…15,21 In adults, K-wire fixation, bone grafting, and cast treatment has demonstrated a similarly high rate of healing. 22,23 Permanent osteosynthesis material is usually avoided in skeletally immature patients. Scaphotrapezial arthrosis has been described in long-term follow-up after Herbert screw fixation using a volar approach.…”

Resultados del tratamiento quirúrgico de la seudoartrosis de escafoides carpiano con la técnica de Fisk-Fernández

“…Schreuder 28 en su serie obtiene un resultado medio de 17, con una desviación estándar de 18,4, y Finsen 18 por su parte obtuvo una media de 2 (0-33) en una revisión a los 10 años de 39 seudoartrosis sintetizadas con agujas de Kirschner.…”