Adeel Hamid, Sajjad Hussain.
Open Reduction and Internal Fixation with Bone Grafting for Scaphoid non-union.
Pak J Med Health Sci Jan ;12(2):787-91.

Background: Scaphoid fractures are fairly common and have relatively good rates of successful treatment. However, due to precarious blood supply a small group of patients remain at risk of developing fracture non-union. This condition can be physically debilitating and lead to considerable functional loss. Aim: To explore union rate and functional status after ORIF and bone grafting for established scaphoid non- unions. Methods: After informed consent, using purposive non-probability sampling, fourteen patients of either sex with age ranging from 20-42 years with radiographically proven scaphoid non-union without AVN were included. All patients underwent ORIF of scaphoid non-union with non- vascularised bone grafting. Results: 14 patients were included in this study, 10 male and 4 female. Average age was 29.4+/- 7.53 years. All patients achieved union after treatment. Average time to union was 17.6+/- 4.25 weeks. Conclusions: ORIF and non- vascularized bone grafting can yield excellent results in patients with scaphoid non- union without evidence of AVN.

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