Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献

{"title":"Effectiveness and safety of vertebral distraction techniques in early-onset scoliosis: a systematic review and meta-analysis.","authors":"J M Molina-Linde, A M Carlos-Gil, M P Rosario-Lozano, J R Lacalle-Remigio","doi":"10.1016/j.recot.2026.06.003","DOIUrl":"10.1016/j.recot.2026.06.003","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the clinical effectiveness, safety, and impact on quality of life of vertebral distraction techniques in patients with early-onset scoliosis (EOS) through a systematic review and meta-analysis. The techniques evaluated were conventional growing rods (CGR), magnetically controlled growing rods (MCGR), and the VEPTR device.</p><p><strong>Methods: </strong>A systematic review was conducted following PRISMA guidelines. Comparative studies, systematic reviews, and economic evaluations published between 2012 and 2023 were included. The analyzed outcomes were Cobb angle, T1-S1 length, quality of life, and complications. Certainty of the evidence was assessed using the GRADE approach. Meta-analyses were performed using fixed- or random-effects models according to heterogeneity.</p><p><strong>Results: </strong>A total of 29 primary comparative studies were included in the meta-analyses of effectiveness and safety. MCGR showed greater Cobb angle correction compared with VEPTR (MD=-22.07°; 95%CI: -31.52 to -12.62) and a lower proportion of patients with at least one complication compared with CGR (RR=0.54; 95%CI: 0.38 to 0.78). No clinically relevant differences in radiographic correction were observed between CGR and MCGR. CGR were associated with a significant improvement in the psychosocial dimension of quality of life. The certainty of evidence was rated as low or very low for most outcomes.</p><p><strong>Conclusions: </strong>No clinically relevant differences were observed in the correction of large deformities between CGR and MCGR, although MCGR tend to be associated with a lower proportion of patients with complications. The VEPTR device maintains a specific role in patients with thoracic insufficiency syndrome. The available evidence is limited and of low or very low certainty; therefore, higher-quality studies are required to establish robust clinical recommendations.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and radiological outcomes when using standard versus retentive polyethylene humeral cups in Delta III reverse shoulder arthroplasty.","authors":"M Zafra Gómez, P Uceda Carrascosa, L E Gracia Delgado, S González Andreu, P Font Ugalde","doi":"10.1016/j.recot.2026.06.001","DOIUrl":"10.1016/j.recot.2026.06.001","url":null,"abstract":"<p><strong>Background: </strong>The most common postoperative complication relating to reverse total shoulder arthroplasty (RTSA) is instability. The risk factors for luxation include a lack of the subscapularis tendon or inadequate soft tissue tension, the prosthetic design, the bone deficiency, the obesity, and mechanical factors such as bone impingement and implant position. To prevent this luxation, we can insert a retentive polyethylene humeral cup, The purpose of this study was to evaluate the clinical outcomes, the incidence of luxation and scapular notching between standard versus retentive polyethylene humeral cups in Delta III RTSA.</p><p><strong>Materials and methods: </strong>Fifty one patients with rotator cuff insufficiency and osteoarthritis who underwent primary Delta III PIH using a standard and retentive polyethylene humeral cup were retrospectively reviewed between September 2018 and December 2023. The main indication for placing the retentive polyethylene was the complete and irreparable chronic rupture of the subscapularis tendon with impossibility of reinsertion and with muscle atrophy. The average follow-up was 42.4 months (41.6 and 44.3 months respectively) RESULTS: 51 patients were reviewed: 35 with standard humeral cups and 16 with retentive polyethylene humeral cups. We found no prosthesis luxation in either of the two study groups and there were no differences in forward flexion, abduction or internal rotation between the two groups at the end of the follow-up. There was a lower mean for external rotation in the retentive polyethylene humeral cup group (average: 36.3±11.6 vs 28.7±10.9) but it was not statistically significant. There was no statistical difference in the postoperative Constant score at the end of the follow-up. The incidence of scapular notching was 62.8% and 62.5% for the standard and retentive polyethylene humeral cups, respectively.</p><p><strong>Conclusion: </strong>The Delta III rTSA using either a standard or retentive polyethylene humeral cups provide functional improvement and pain relief. There were no differences between the two groups in clinical mobility, forward flexion, abduction, internal rotation, external rotation, incidence of luxation and scapular notching.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148176869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the editor about the article: «ChatGPT versus a theoretical exam in Orthopedic Surgery and Traumatology: Clinical and educational value».","authors":"F Canillas Del Rey, M Canillas Arias","doi":"10.1016/j.recot.2026.05.004","DOIUrl":"10.1016/j.recot.2026.05.004","url":null,"abstract":"","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of minimally invasive techniques to optimize the reduction of extracapsular proximal femur fractures: Indications and outcomes. Our treatment algorithm.","authors":"J M García López, J A Guerrero Serrano, A de la Fuente Palomo, M Sintes Álvarez-Arenas, A Capel Agundez, A Ortega Briones","doi":"10.1016/j.recot.2026.05.005","DOIUrl":"10.1016/j.recot.2026.05.005","url":null,"abstract":"<p><strong>Introduction: </strong>Pertrochanteric fractures are among the most common conditions in trauma surgery, and the treatment of choice is closed reduction and internal fixation. The main predictor of a good functional outcome is the quality of reduction; therefore, open reduction is often required. The primary objective of this study was to analyze the outcomes regarding reduction quality in pertrochanteric fractures requiring open reduction and to describe the techniques used through our treatment algorithm.</p><p><strong>Materials and methods: </strong>A retrospective descriptive study was conducted including all patients with pertrochanteric fractures treated with intramedullary nailing who required open reduction between 2022 and 2024 at a tertiary care hospital. Demographic variables, fracture characteristics, surgical techniques, functional outcomes, and complications were collected. Radiological reduction quality was assessed according to the Baumgaertner and Kim modified classification, which categorizes reduction into three levels.</p><p><strong>Results: </strong>During the study period, a total of 1,034 fractures were surgically treated, of which 100 met the inclusion criteria (9.7%). Seventy-four percent of patients were women, with a mean age of 81 years. The most frequent fracture subtype was AO classification 31-A3.3. Satisfactory reduction was achieved in 75% of cases. Poor reduction was observed in 25% of patients with 31-A3.3 fractures. In 74% of patients, a Hohmann retractor and/or Verbrugge clamp were used. The overall complication rate was 13%, being more frequent in cases with poor reduction.</p><p><strong>Conclusion: </strong>AO 31-A2 and 31-A3 pertrochanteric fractures often present difficulties in achieving adequate reduction and frequently require open reduction techniques. These maneuvers are summarized in our treatment algorithm.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of uncemented modular diaphyseal stems in salvage hip replacement after cut-out failure of cephalomedular fixation for extracapsular hip fractures. Monocentric series.","authors":"I Martínez Pérez, C López-Orosa","doi":"10.1016/j.recot.2026.05.001","DOIUrl":"10.1016/j.recot.2026.05.001","url":null,"abstract":"<p><strong>Background and objective: </strong>There are different treatments for cut-out failure after intramedullary nailing in hip fractures. Salvage with hip arthroplasty is an accepted method in frail elderly patients and in cases of articular cartilage damage or compromised bone stock precluding re-osteosynthesis. However, this is not without complications (10-66%) due to its complexity.</p><p><strong>Material and methods: </strong>A single-center retrospective case series of patients treated with salvage arthroplasty using an uncemented modular diaphyseal fixation stem (Arcos® system, Zimmer Biomet). Minimum follow-up was 1 year.</p><p><strong>Results: </strong>Fourteen cases were recorded, nine after Gamma3® nailing and five after Intertan® nailing. The posterolateral approach was the most commonly used (10 cases). Eight total hip replacements, three double mobility replacements, and six bipolar hemiarthroplasties were implanted. At 30 days, 92.9% were able to walk indoors with technical support. During the first year, six patients (42.8%) had complications related to the implant: three periprosthetic fractures, one acetabular erosion, and three dislocations. No patients died during hospitalization or at 30 days; one patient (7.1%) died within a year.</p><p><strong>Discussion and conclusion: </strong>Prosthetic salvage after cut-out with uncemented modular diaphyseal stems is a complex surgery with a significant risk of complications, especially dislocation and periprosthetic fracture. These implants allow the deficient proximal areas to be by-passed and restore the length, version, and offset, making them a possible alternative in selected patients, although not without complications.</p><p><strong>Evidence level: </strong>Level IV.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148102048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of the Akmese sign as a diagnostic method for posterior root tears of the medial meniscus in Peruvian healthcare facilities.","authors":"S M Paucar-Vergara, J S Urdanivia-Martos, C J Toro-Huamanchumo","doi":"10.1016/j.recot.2026.05.003","DOIUrl":"10.1016/j.recot.2026.05.003","url":null,"abstract":"<p><strong>Background: </strong>Medial meniscus injuries are the most prevalent knee injuries, frequently causing pain, instability, and orthopaedic surgeries. Although several clinical tests are used for meniscal pathology, most were developed for general meniscal lesions rather than specifically for medial meniscus posterior root tears (MMPRT). Evidence on root-specific physical examination signs remains limited. Recently, the Akmese manoeuvre has been introduced as a non-invasive diagnostic tool, assessing pain or tenderness during physical examination. This study aimed to determine the accuracy of the Akmese sign for the clinical diagnosis of MMPRT.</p><p><strong>Methods: </strong>This prospective cohort diagnostic study included patients aged 18-55 years scheduled for arthroscopic surgery following a clinical diagnosis of medial meniscus injury between January 2022 and July 2023. Diagnostic performance metrics, including sensitivity, specificity, positive and negative predictive values (PPV, NPV), and likelihood ratios (LR+, LR-), were calculated, using arthroscopy as the reference standard. The interobserver reliability of the Akmese manoeuvre was assessed using the kappa coefficient.</p><p><strong>Results: </strong>A total of 201 individuals met the eligibility criteria, with a mean age of 38.4±9.8 years. The Akmese sign was positive in 26 patients, and MMPRT was confirmed by arthroscopy in 28 patients. The Akmese sign demonstrated a sensitivity of 85.7%, specificity of 98.8%, PPV of 92.3%, NPV of 97.7%, LR+ of 74.1, and a LR- of 0.15.</p><p><strong>Conclusion: </strong>In this selected surgical population, the Akmese manoeuvre showed promising diagnostic performance and very good interobserver reliability for identifying MMPRT. The sign may be useful as an adjunctive clinical tool to support preoperative suspicion, targeted MRI review, and surgical planning, but it should not be considered a replacement for MRI or arthroscopic assessment.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147960525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Total knee arthroplasty: use of robotic surgery versus conventional surgery: Scoping review.","authors":"E Jiménez, K Quelal, J Ortiz","doi":"10.1016/j.recot.2026.05.002","DOIUrl":"10.1016/j.recot.2026.05.002","url":null,"abstract":"<p><strong>Background: </strong>Knee osteoarthritis is a leading cause of disability. Although total knee arthroplasty (TKA) is cost-effective, up to 20% of patients remain dissatisfied. Computer-assisted surgery (CAS), including navigation and robotic-assisted techniques, aims to improve alignment accuracy and surgical reproducibility.</p><p><strong>Objetive: </strong>To compare radiological, clinical, and functional outcomes between conventional and computer-assisted primary TKA.</p><p><strong>Methods: </strong>A scoping review was conducted according to PRISMA-ScR guidelines. A comprehensive search of PubMed/MEDLINE, EMBASE, and Cochrane databases (2011-2024) was performed using MeSH and DeCS terms derived from the PICO question. Randomized controlled trials, systematic reviews, and meta-analyses comparing conventional and CAS techniques were included. Twenty-three studies met inclusion criteria after independent paired screening.</p><p><strong>Results: </strong>Navigation and robotic-assisted TKA achieved significantly improved mechanical axis alignment and reduced proportion of alignment outliers (>±3°) compared with conventional TKA. Registry data suggest lower revision rates with navigation in patients younger than 65 years. Both CAS modalities demonstrated reduced systemic inflammatory response and less intraoperative soft tissue injury. However, no significant differences were found in long-term implant survivorship or functional outcomes at ≥10 years follow-up. Robotic-assisted TKA was associated with longer operative time and higher intraoperative costs, with conflicting evidence regarding overall cost-effectiveness.</p><p><strong>Conclusions: </strong>CAS improves radiological accuracy and reproducibility in primary TKA but does not demonstrate superior long-term functional outcomes compared with conventional techniques. Clinical adoption should be individualized based on surgeon experience, institutional volume, patient comorbidities, and economic considerations.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estudio clínico y radiológico del resultado final de la enfermedad de Legg-Calvé-Perthes","authors":"A. Losa-Sánchez,&nbsp;L. Moraleda-Novo,&nbsp;R. Fernández-Fernández,&nbsp;G. González-Morán","doi":"10.1016/j.recot.2025.11.010","DOIUrl":"10.1016/j.recot.2025.11.010","url":null,"abstract":"<div><h3>Background and objective</h3><div>The prediction of outcomes in Legg-Calvé-Perthes disease (LCPD) has traditionally relied on femoral head sphericity and hip joint congruence as determinants of the risk of osteoarthritis in adulthood. However, other less explored radiographic parameters may enhance the ability to anticipate functional prognosis. The aim of this study was to analyze the relationship between novel radiographic parameters of LCPD and patient-reported outcome measures (PROMs) in adulthood, including hip function, sports activity level, and quality of life.</div></div><div><h3>Material and methods</h3><div>A retrospective observational study was conducted in patients over 18 years of age with a history of LCPD in childhood. The latest available hip radiograph was assessed for sphericity and congruence (Stulberg classification), degree of osteoarthritis (Tönnis), femoral neck height (FNH), articulo-trochanteric distance (ATD), epiphyseal extrusion index (EEI), Sharp angle (SA), and neck-shaft angle (NSA). Patients completed the Hip Disability and Osteoarthritis Outcome Score (HOOS), Oxford Hip Score (OHS), modified Harris Hip Score (mHHS), UCLA Activity Level, and the 12-Item Short Form Survey (SF-12).</div></div><div><h3>Results</h3><div>A total of 141 adults (154 hips) were included, with a mean age of 31.6 years (19-71) and a mean follow-up of 22.1 years (10-68). The distribution according to Stulberg classification was: class I (12%), II (18%), III (32.5%), IV (28%), and V (10.5%). Sixty percent of patients showed radiographic signs of osteoarthritis, with 34% being Tönnis grade 1. Multiple regression analysis identified femoral neck shortening (FNH), trochanteric overgrowth (reduced ATD), and femoral head extrusion (increased EEI) as predictors of poorer PROMs (<em>P</em>&lt;.05). Regression equations were developed to estimate PROMs in adulthood based on these three parameters.</div></div><div><h3>Conclusion</h3><div>In addition to femoral head sphericity, joint congruence, and the degree of osteoarthritis, measurement of FNH, ATD, and EEI provides predictive value regarding functional outcomes, sports activity level, and quality of life in adults with a history of childhood LCPD.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 3","pages":"Pages 258-265"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Artículo traducido] El papel de la inteligencia artificial en la cirugía ortopédica: aplicaciones actuales y perspectivas futuras – Una revisión sistemática de la literatura","authors":"K. Eskandar","doi":"10.1016/j.recot.2026.02.009","DOIUrl":"10.1016/j.recot.2026.02.009","url":null,"abstract":"<div><h3>Objective</h3><div>This systematic review aimed to evaluate the current applications, clinical outcomes, and limitations of artificial intelligence (AI) in orthopaedic surgery across diagnostics, pre-surgical planning, robotic-assisted interventions, and postoperative care.</div></div><div><h3>Methods</h3><div>A comprehensive search across PubMed, Scopus, Web of Science, and Google Scholar (2018–2025) identified 125 studies, of which 47 met inclusion criteria.</div></div><div><h3>Results</h3><div>AI-based imaging tools demonstrated high diagnostic accuracy, with some models achieving sensitivities up to 98.2% and area under the curve (AUC) values exceeding 0.95 in fracture detection and musculoskeletal anomaly identification. In pre-surgical planning, AI-driven 3<!--> <!-->D modelling improved implant conformity (acetabular cup 90.9% vs. 72.2%; femoral stem 87.3% vs. 66.7%) and enhanced surgical risk prediction (AUC<!--> <!-->&gt;<!--> <!-->0.85 for complications). Robotic-assisted surgeries incorporating AI-guided planning improved implant alignment and procedural consistency, although long-term functional outcomes remained inconclusive. In the postoperative setting, 17 of 18 trials using wearable or app-based interventions reported improved functional recovery, patient satisfaction, and adherence.</div></div><div><h3>Conclusion</h3><div>AI is playing an increasingly important role in orthopaedic surgery, offering promising improvements in diagnostic accuracy, surgical precision, and rehabilitation support. However, challenges remain regarding external validation, algorithmic bias, and regulatory frameworks.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 3","pages":"Pages T248-T257"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mid-term results of a minimally invasive management of scaphoid non-union: Arthroscopy-assisted osteosynthesis and autologous bone grafting","authors":"J.A. Guerrero-Serrano ,&nbsp;V. Jiménez-Díaz ,&nbsp;L. García-Lamas ,&nbsp;J.M. García-López ,&nbsp;D. Cecilia-López","doi":"10.1016/j.recot.2025.10.004","DOIUrl":"10.1016/j.recot.2025.10.004","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze clinical and radiological mid-term outcomes in patients with scaphoid pseudarthrosis treated with arthroscopy-assisted osteosynthesis and autologous bone grafting.</div></div><div><h3>Materials and methods</h3><div>Thirty-one patients (27 males, 4 female) were included in a retrospective study, with one bilateral case. The mean age was 28 years, and mean follow-up was 54 months. Twenty-six non-unions were in the waist, 5 in the proximal third, and one in the distal third. Arthroscopic debridement was performed and autologous bone graft from iliac crest was used. Fixation was performed percutaneously with a compression screw. Clinical and radiological evaluations were conducted preoperatively and postoperatively at one, three, six and twelve months. An additional mid-term follow-up visit was conducted. Patients were assessed for pain, wrist strength, range of motion and functional outcomes.</div></div><div><h3>Results</h3><div>Radiological consolidation was achieved in 100% of cases within 12 weeks, with a mean of 10 weeks. Pain on the visual analog scale decreased from 7.1 to 1.5. Wrist strength improved from 27 to 48<!--> <!-->kg. Quick DASH improved from 58 to 11. Range of motion also increased: flexion from 51° to 71°, extension from 47° to 73°, radial deviation from 12° to 15°, and ulnar deviation from 23° to 36°. No complications were observed among the studied patients, and all returned to their respective jobs.</div></div><div><h3>Conclusions</h3><div>Arthroscopy-assisted osteosynthesis with percutaneous compression screw and cancellous bone grafting has proven to be a viable method for the treatment of scaphoid pseudarthrosis, with low morbidity, good functional mid-term outcomes, and short consolidation periods.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 3","pages":"Pages 225-232"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}