Percutaneous pinning of symptomatic scaphoid nonunions.
A prospective study was conducted to determine whether multiple percutaneous pinning of symptomatic scaphoid nonunions could result in union. All patients had symptomatic nonunions, confirmed by x-ray film, and of sufficient severity to interfere with activities of daily living or military duties. Eighteen patients had pinning with two to four 0.045-inch C-wires guided by image intensification. All nonunions were immobilized in below the elbow thumb spica casts until healed. Thirteen patients, treated by our protocol, had adequate follow-up of an average of 10.3 months. Bony union occurred in 10 (77%) cases, asymptomatic fibrous union occurred in two, and one failed to unite. Complications were few.
Cosio
M Q
MQ
Camp
R A
RA
D000293:Adolescent; D000328:Adult; D001858:Bone Nails; D002348:Carpal Bones / Q000293:injuries*; D005260:Female; D005592:Fracture Fixation / Q000379:methods*; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011446:Prospective Studies; D011859:Radiography