Clinical outcome of scaphoid malunion as a result of scaphoid fracture nonunion surgical treatment: A 5-year minimum follow-up study

Orthopaedics & Traumatology, Surgery & Research : OTSR
C-H LeeW-S Choi

Abstract

Although malunion resulting from reconstruction for scaphoid fracture nonunion is a typical complication, there has been little consideration regarding its clinical outcomes. The quality of restoration of the scaphoid anatomy may have little effect on clinical outcomes. Twenty-five patients with scaphoid fracture nonunion underwent curettage and internal fixation with bone grafting performed by a single surgeon, and they were followed up for a minimum of 5 years. Some of these patients comprised the malunion group if the height/length ratio (H/L ratio) in the most central longitudinal computed tomographic image was more than 0.6. We compared the clinical outcomes of the malunion group with a well-union group based on various clinical scores (Patient Evaluation Measure, Disabilities of the Arm, Shoulder and Hand, modified Mayo wrist scoring system). The average follow-up period was 81 months (range: 65-110), and 15 cases among the 25 patients were included in the malunion group. There were no statistical differences in the clinical scores between malunions (15 cases) and well unions (10 cases), and there was no correlation between the H/L ratios and the clinical outcomes. The clinical outcomes of malunited scaphoids after recons...Continue Reading

References

May 1, 1991·The Journal of Hand Surgery·C ZaidembergC Angrigiani
Jul 1, 1989·The Journal of Hand Surgery·P C AmadioR L Linscheid
Jul 26, 2005·The Journal of Hand Surgery·David RingJesse B Jupiter
Mar 5, 2009·The Journal of Hand Surgery·Thanapong WaitayawinyuThomas E Trumble

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Citations

Oct 28, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Konstantinos N MalizosAntonios Koutalos
Nov 7, 2017·The Journal of Hand Surgery, European Volume·Christophe L Mathoulin, Margareta Arianni
Dec 7, 2016·The Journal of Hand Surgery, European Volume·J-H KimW-S Choi
Aug 21, 2019·The Journal of Hand Surgery, European Volume·Philip M J SchormansPascal F W Hannemann
Jan 19, 2021·The Journal of Hand Surgery, European Volume·Cæcilie W GuldbrandsenRobert Gvozdenovic
Apr 21, 2021·The Journal of Hand Surgery·Puneet RanotaEmily Lalone
Sep 7, 2021·Hand : Official Journal of the American Association for Hand Surgery·Michelle XiaoLauren M Shapiro

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