title: Dorsal approach to scaphoid nonunion.
abstract: The surgical approach for treatment of scaphoid nonunion usually involves various combinations of screws and Kirschner wires, with or without bone grafts. This article reports our results with 36 dorsal-approach bone grafting procedures for treatment of scaphoid nonunion with Kirschner wires. Union was achieved in 89%. The average follow-up was 5 years. Flexion/extension averaged 76% of the opposite wrist, and grip strength was 88% of the opposite hand. Ninety-one percent of the employed patients returned to their original jobs. The dorsal approach provides satisfactory exposure for fragment reduction and bone grafting.
authors: Connecticut Combined Hand Service, Hartford Hospital, Conn.
authors: H K
authors: HK
authors: Watson
authors: E C
authors: EC
authors: Pitts
authors: D
authors: D
authors: Ashmead
authors: M V
authors: MV
authors: Makhlouf
authors: J
authors: J
authors: Kauer
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000379:methods; D001864:Bone Wires; D002348:Carpal Bones / Q000293:injuries* / Q000601:surgery*; D002370:Casts, Surgical; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation; D017102:Fracture Healing; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010521:Periosteum / Q000601:surgery; D011884:Radius / Q000601:surgery; D014955:Wrist Joint / Q000503:physiopathology