Should we always perform scaphoid nonunion surgery in patients with minor preoperative symptoms?

Abigael Cohen, Max Reijman, Ruud W Selles, Steven E R Hovius, Joost W Colaris
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Abstract

The objective of this study was to assess the downsides of surgical treatment of scaphoid fracture nonunion in patients with minor preoperative symptoms. Patients were classified with minor symptoms based on the Patient-Rated Hand/Wrist Evaluation questionnaire. Of the 35 included patients, most patients encountered problems with patient-specific activities; 9% reported worse postoperative functional outcomes, 34% were not satisfied with the treatment and 9% were reoperated. The risk of a worse functional outcome after surgery with the need for further operations and the chance of developing wrist osteoarthritis, along with the possibility of poor patient satisfaction and ongoing daily functional impairment, should be considered during preoperative counselling.Level of evidence: III.

对于术前症状轻微的患者,是否一定要进行肩胛骨骨不连手术?
本研究旨在评估术前症状轻微的肩胛骨骨折不愈合患者接受手术治疗的弊端。根据 "患者手部/腕部评估问卷 "对症状轻微的患者进行分类。在纳入的35名患者中,大多数患者在特定活动中遇到了问题;9%的患者报告术后功能结果更差,34%的患者对治疗不满意,9%的患者再次接受了手术。在术前咨询中,应考虑到术后功能结果恶化的风险、需要再次手术的风险、发展为腕关节骨关节炎的机会,以及患者满意度差和日常功能持续受损的可能性:证据等级:III。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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