Treatment of Scaphoid Non-Union by Iliac Cancellous Bone

This study investigated the outcomes of headless compression screw fixation and cancellous iliac crest bone graft chips procedure in the management of scaphoid waist non-union. The method was based on interventional research carried out in the Orthopedics operating room for a period from July ۲۰۱۸ to July ۲۰۲۰. It included ۲۶ patients presented with symptomatic scaphoid nonunion confirmed by radiograph of the wrist and scheduled for surgical management by a non-structural autologous cancellous bone graft from the iliac crest and headless screw fixation. Patients were followed up at every four weeks’ interval for six months and then three months for the total duration of ۱۲ months. All parameters of the Modified Mayo Wrist Score were shown statistically significant at postoperative improvement except for grip strength. Total Modified Mayo Wrist Score showed that ۶۱.۵% of study patients were graded as a fair result, and no one reported excellent level. Six months postoperatively, ۲۳.۱% of patients reported excellent results, and ۶۵.۴% showed a good level.

کلیدواژه ها:

headless screw fixation ، Iraq ، modified mayo wrist score ، non-union ، Scaphoid