title: Scaphoid nonunion in the presence of a degenerate carpus: don't rush to salvage surgery.
abstract: We retrospectively studied 13 patients with degenerative change associated with a scaphoid nonunion treated by internal fixation and bone graft. All patients had radiological signs of radioscaphoid degenerative change (scaphoid nonunion advanced collapse--scaphoid nonunion advanced collapse-- grade II or more) and had surgery more than 2 years after injury. Ten of the 13 patients achieved union at 6 months with all but one of these demonstrating improvement on the Disability of Arm, Shoulder and Hand (DASH) score. Surgeons presented with this difficult patient group might consider reconstruction before salvage procedures.
authors.affiliation: Department of Orthopaedics and Trauma, Norfolk and Norwich University Hospitals, NHS Foundation Trust, Colney Lane, Norwich, UK.
authors.forename: M E
authors.initials: ME
authors.lastname: Kent
authors.forename: N N T
authors.initials: NN
authors.lastname: Rehmatullah
authors.forename: L
authors.initials: L
authors.lastname: Young
authors.forename: A J
authors.initials: AJ
authors.lastname: Chojnowski
mesh_terms: D016025:Bone Transplantation / Q000379:methods*; D004185:Disability Evaluation; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000637:transplantation*; D008297:Male; D011859:Radiography; D012189:Retrospective Studies; D016879:Salvage Therapy; D021361:Scaphoid Bone / Q000000981:diagnostic imaging / Q000293:injuries*; D016896:Treatment Outcome