Arthroscopic treatment of scaphoid nonunion with distal radius bone graft: A retrospective series of 31 cases

IF 0.9 4区医学 Q4 ORTHOPEDICS

Hand Surgery & Rehabilitation Pub Date : 2025-04-30 DOI:10.1016/j.hansur.2025.102163

Alexandra M. Stein , Violaine Beauthier , Charles Schlur , Marc Juvenspan , Emmanuel Dahan

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Abstract

The objective of this study was to evaluate the clinical outcomes of arthroscopic bone grafting for the treatment of scaphoid nonunion. This was a retrospective, multicenter study involving 31 patients with scaphoid nonunion, all treated arthroscopically. The procedure included harvesting of a cancellous bone graft from the distal radius, arthroscopic debridement of the nonunion site, injection of the bone graft under arthroscopic control, and retrograde percutaneous fixation.

At an average follow-up of 11.7 months, 90.3% of the fractures had consolidated at a mean time of 12.2 weeks. The Visual Analog Scale for pain decreased from 4.9 to 1.3, and strength increased from 24.2 kg to 32.3 kg. The Mayo Wrist Score improved from 53.9 to 79, and the Quick Disability of Arm Shoulder and Hand score improved from 40.5 to 10.3.

This is a minimally invasive technique that preserves scaphoid vascularization, with results comparable to other techniques.

Level of evidence

III.

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关节镜下桡骨远端骨移植治疗舟状骨不连31例回顾性分析。

本研究的目的是评估关节镜下植骨治疗舟状骨不连的临床效果。这是一项回顾性、多中心研究，涉及31例舟状骨不连患者，均经关节镜治疗。手术包括从桡骨远端取松质骨移植物，关节镜下对骨不连部位进行清创，在关节镜控制下注射骨移植物，并逆行经皮固定。在平均11.7个月的随访中，90.3%的骨折在平均12.2周的时间内得到巩固。疼痛的视觉模拟评分从4.9下降到1.3，力量从24.2 kg增加到32.3 kg。梅奥手腕评分从53.9分提高到79分，臂肩和手的快速残疾评分从40.5分提高到10.3分。这是一种保留舟状骨血管化的微创技术，其结果与其他技术相当。证据水平：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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来源期刊

Hand Surgery & Rehabilitation Medicine-Surgery

CiteScore

1.70

自引率

27.30%

发文量

审稿时长

49 days

期刊介绍： As the official publication of the French, Belgian and Swiss Societies for Surgery of the Hand, as well as of the French Society of Rehabilitation of the Hand & Upper Limb, ''Hand Surgery and Rehabilitation'' - formerly named "Chirurgie de la Main" - publishes original articles, literature reviews, technical notes, and clinical cases. It is indexed in the main international databases (including Medline). Initially a platform for French-speaking hand surgeons, the journal will now publish its articles in English to disseminate its author''s scientific findings more widely. The journal also includes a biannual supplement in French, the monograph of the French Society for Surgery of the Hand, where comprehensive reviews in the fields of hand, peripheral nerve and upper limb surgery are presented. Organe officiel de la Société française de chirurgie de la main, de la Société française de Rééducation de la main (SFRM-GEMMSOR), de la Société suisse de chirurgie de la main et du Belgian Hand Group, indexée dans les grandes bases de données internationales (Medline, Embase, Pascal, Scopus), Hand Surgery and Rehabilitation - anciennement titrée Chirurgie de la main - publie des articles originaux, des revues de la littérature, des notes techniques, des cas clinique. Initialement plateforme d''expression francophone de la spécialité, la revue s''oriente désormais vers l''anglais pour devenir une référence scientifique et de formation de la spécialité en France et en Europe. Avec 6 publications en anglais par an, la revue comprend également un supplément biannuel, la monographie du GEM, où sont présentées en français, des mises au point complètes dans les domaines de la chirurgie de la main, des nerfs périphériques et du membre supérieur.