title: [Results of surgical treatment of carpal scaphoid pseudarthrosis using the Fisk-Fernández technique].
abstract: OBJECTIVE
  The aim of the study was to evaluate the clinical and radiological results obtained in the treatment of carpal scaphoid non-union treated at the University Hospital of Valladolid using the Fisk Fernandez technique.
  
  
  METHODS
  A review was performed on 43 cases of surgically treated non-union using Fisk Fernandez technique with a minimum of 6 months follow-up. The time until surgery, previous treatment, the mechanism of injury, type of non-union, and the existence of radio-carpal arthrosis were evaluated. A subjective evaluation was performed using the "Scaphoid Score" and the DASH, plus an objective assessment with the modified Green & O'Brien, together with the measurement of the intra-scaphoid, radioulnar, scapholunate angles, and carpal height.
  
  
  RESULTS
  The median time to healing in the series was between 16 to 24 weeks, except in 3 patients who failed to heal and required salvage surgery. There was a statistically significant variation between the preoperative and postoperative angles and carpal height measured in the X-rays.
  
  
  CONCLUSIONS
  There are different osteosynthesis techniques and materials for the treatment of non-union. The evaluation of results performed using objective and subjective scales showed variable results between studies. Different techniques are aimed at preventing the progression of the disease.
  
  
  CONCLUSIONS
  The Fisk Fernandez technique enables the deformity of the scaphoid to be corrected by wedge grafting and internal fixation with Kirschner wires or screws.
authors.affiliation: Departamento de Cirugía Ortopédica y Traumatología, Hospital Clínico Universitario de Valladolid, Valladolid, España. Electronic address: rubenramajo@hotmail.com.
authors.forename: R
authors.initials: R
authors.lastname: Hernández-Ramajo
authors.affiliation: Departamento de Cirugía Ortopédica y Traumatología, Hospital Clínico Universitario de Valladolid, Valladolid, España.
authors.forename: M A
authors.initials: MA
authors.lastname: Martin-Ferrero
authors.affiliation: Departamento de Cirugía Ortopédica y Traumatología, Hospital Clínico Universitario de Valladolid, Valladolid, España.
authors.forename: C
authors.initials: C
authors.lastname: Simón-Pérez
authors.affiliation: Unidad de Investigación Biomédica, Hospital Clínico Universitario de Valladolid, Valladolid, España.
authors.forename: M F
authors.initials: MF
authors.lastname: Muñoz-Moreno
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015331:Cohort Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011542:Pseudarthrosis / Q000601:surgery*; D012189:Retrospective Studies; D021361:Scaphoid Bone / Q000601:surgery*; D055815:Young Adult
keywords: Bone grafting; Escafoides; Injerto óseo; Non-union; Scaphoid; Seudoartosis; Tratamiento; Treatment