[Arthroscopic reconstruction of scaphoid nonunions].

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Abstract

[Indexed for MEDLINE] 8. Surgeon. 2022 Oct;20(5):e231-e235. doi: 10.1016/j.surge.2022.05.006. Epub 2022 Jun 22. The progress in the classification and treatment of scaphoid nonunion. Li C(1), Peng Z(2), Zhou Y(3), Ruan M(4), Su YY(4), Liu S(5), Meng XH(4), Xu YQ(6). Author information: (1)Department of Orthopaedic, Kunming Medical University, Kunming 650500, China; Department of Orthopaedic, 920th Hospital of Joint Logistics Support Force, Kunming 650032, China. (2)Department of Orthopaedic, Kunming Medical University, Kunming 650500, China. (3)Department of Orthopaedic, Children's Hospital of Kunming Medical University, Yunnan 650228, China. (4)Department of Orthopaedic, 920th Hospital of Joint Logistics Support Force, Kunming 650032, China. (5)Department of Orthopaedic Surgery, Sheng-Jing Hospital, China Medical University, Shenyang 110004, China. (6)Department of Orthopaedic, 920th Hospital of Joint Logistics Support Force, Kunming 650032, China. Electronic address: xuyongqing920@163.com. Scaphoid fracture is the most common carpal fracture, accounting for 50%-80% of all carpal fractures in the Youngers and manual workers. The nonunion rate of scaphoid fractures was approximately 10-15%. Scaphoid nonunion can lead to wrist deformity, wrist collapse, ischemic necrosis, and traumatic osteoarthritis resulting in the loss of wrist function and seriously influence the patients' lives. Achieving bony union is essential for the treatment of scaphoid nonunion. Although many surgical procedures including various forms of bone grafting have been developed to improve bony union, there is no conclusion about which method is the most effective and optimal. In this review, we provide an overview of the diagnostic, classification and progress in the treatments of scaphoid nonunion fractures. Copyright © 2022 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved. DOI: 10.1016/j.surge.2022.05.006