Non-union of the scaphoid treated with styloidectomy and compression screw fixation.
17 patients were re-examined 13 to 19 years (mean 16 years) after operation for non-union of the scaphoid. A standardized method including styloidectomy and compression screw fixation according to McLaughlin was used. The mean interval between trauma and operation was 34 months. All patients were male and the mean age at surgery was 31 years. Bone union was obtained in 65% (11/17) and radio-carpal arthrosis was found in 83% (14/17) compared with 41% (7/17) at the time of operation. Impaired motion as well as marked decrease in strength was noted in comparison with the healthy side. 88% of the patients were satisfied with the result. All returned to and continued in their previous occupation. The McLaughlin method proved to be clinically beneficial in spite of a relatively high percentage of persistent non-unions.
D000328:Adult; D001863:Bone Screws; D002348:Carpal Bones / Q000293:injuries*; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D005599:Fractures, Ununited / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008297:Male; D011884:Radius / Q000601:surgery*; D014945:Wound Healing