Treatment of scaphoid waist nonunion with iliac crest bone graft and double Kirschner wire fixation: An observational clinical study
Background: Scaphoid fracture nonunion may be considered a serious problem if not treated properly. Nonunion can lead to resorption, loss of bone, and deformity. Iliac bone graft with double Kirschner wire (K-wire) fixation is an effective way to establish scaphoid union. This study aims to assess t...
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Elsevier
2025-04-01
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| Series: | Journal of Orthopaedic Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773157X25000104 |
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| author | Navin Kumar Yadav Pavan Pradhan |
| author_facet | Navin Kumar Yadav Pavan Pradhan |
| author_sort | Navin Kumar Yadav |
| collection | DOAJ |
| description | Background: Scaphoid fracture nonunion may be considered a serious problem if not treated properly. Nonunion can lead to resorption, loss of bone, and deformity. Iliac bone graft with double Kirschner wire (K-wire) fixation is an effective way to establish scaphoid union. This study aims to assess the clinical and radiological outcomes of an iliac crest bone graft with double K-wire fixation for the treatment of scaphoid nonunion. Methods: Twenty-two cases treated with iliac crest bone graft and double K-wire fixation for nonunion scaphoid fracture were included in this study. The average follow-up duration was 15 ± 3 months. Visual analog scale (VAS), grip strength, range of motion (ROM), and modified Mayo wrist score were compared with the opposite side. Post-operative radiographs were compared to preoperative images to ascertain the union. Results: Twenty (90.9 %) cases achieved bony union. Postoperative improvement revealed statistical significance (p-value <0.05) for all criteria of the modified Mayo wrist score. At the final follow-up, twelve patients (54.5 %) had excellent results; eight patients (36.4 %) had good results, and two patient (9.1 %) had fair results. Following surgery, the mean scapholunate and radio scaphoid angles have been within normal limits on the radiographs. Conclusion: Using an iliac bone graft with double K-wire fixation is an efficacious and reliable method to treat scaphoid nonunion. Thus, this procedure is a feasible surgical alternative for the scaphoid fracture nonunion. |
| format | Article |
| id | doaj-art-27fe476a8e7c4275977ee06efd20c772 |
| institution | OA Journals |
| issn | 2773-157X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Orthopaedic Reports |
| spelling | doaj-art-27fe476a8e7c4275977ee06efd20c7722025-08-20T02:07:23ZengElsevierJournal of Orthopaedic Reports2773-157X2025-04-014110055810.1016/j.jorep.2025.100558Treatment of scaphoid waist nonunion with iliac crest bone graft and double Kirschner wire fixation: An observational clinical studyNavin Kumar Yadav0Pavan Pradhan1Department of Orthopaedics, Baba Raghav Das Medical College, Gorakhpur, India; Corresponding author.Department of Orthopaedics Baba Raghav Das Medical College, Gorakhpur, IndiaBackground: Scaphoid fracture nonunion may be considered a serious problem if not treated properly. Nonunion can lead to resorption, loss of bone, and deformity. Iliac bone graft with double Kirschner wire (K-wire) fixation is an effective way to establish scaphoid union. This study aims to assess the clinical and radiological outcomes of an iliac crest bone graft with double K-wire fixation for the treatment of scaphoid nonunion. Methods: Twenty-two cases treated with iliac crest bone graft and double K-wire fixation for nonunion scaphoid fracture were included in this study. The average follow-up duration was 15 ± 3 months. Visual analog scale (VAS), grip strength, range of motion (ROM), and modified Mayo wrist score were compared with the opposite side. Post-operative radiographs were compared to preoperative images to ascertain the union. Results: Twenty (90.9 %) cases achieved bony union. Postoperative improvement revealed statistical significance (p-value <0.05) for all criteria of the modified Mayo wrist score. At the final follow-up, twelve patients (54.5 %) had excellent results; eight patients (36.4 %) had good results, and two patient (9.1 %) had fair results. Following surgery, the mean scapholunate and radio scaphoid angles have been within normal limits on the radiographs. Conclusion: Using an iliac bone graft with double K-wire fixation is an efficacious and reliable method to treat scaphoid nonunion. Thus, this procedure is a feasible surgical alternative for the scaphoid fracture nonunion.http://www.sciencedirect.com/science/article/pii/S2773157X25000104Kirschner wireIliac crestBone graftScaphoidNonunion |
| spellingShingle | Navin Kumar Yadav Pavan Pradhan Treatment of scaphoid waist nonunion with iliac crest bone graft and double Kirschner wire fixation: An observational clinical study Journal of Orthopaedic Reports Kirschner wire Iliac crest Bone graft Scaphoid Nonunion |
| title | Treatment of scaphoid waist nonunion with iliac crest bone graft and double Kirschner wire fixation: An observational clinical study |
| title_full | Treatment of scaphoid waist nonunion with iliac crest bone graft and double Kirschner wire fixation: An observational clinical study |
| title_fullStr | Treatment of scaphoid waist nonunion with iliac crest bone graft and double Kirschner wire fixation: An observational clinical study |
| title_full_unstemmed | Treatment of scaphoid waist nonunion with iliac crest bone graft and double Kirschner wire fixation: An observational clinical study |
| title_short | Treatment of scaphoid waist nonunion with iliac crest bone graft and double Kirschner wire fixation: An observational clinical study |
| title_sort | treatment of scaphoid waist nonunion with iliac crest bone graft and double kirschner wire fixation an observational clinical study |
| topic | Kirschner wire Iliac crest Bone graft Scaphoid Nonunion |
| url | http://www.sciencedirect.com/science/article/pii/S2773157X25000104 |
| work_keys_str_mv | AT navinkumaryadav treatmentofscaphoidwaistnonunionwithiliaccrestbonegraftanddoublekirschnerwirefixationanobservationalclinicalstudy AT pavanpradhan treatmentofscaphoidwaistnonunionwithiliaccrestbonegraftanddoublekirschnerwirefixationanobservationalclinicalstudy |