title: Scaphoid nonunion fracture and results of the modified Matti-Russe technique.
abstract: BACKGROUND
  The best treatment for scaphoid nonunion fractures is still controversial. The main aim of this study was to determine the results of the modified Matti-Russe method of surgery on scaphoid nonunion.
  
  
  METHODS
  In this prospective interventional study, 30 patients with nonunion scaphoid fracture recruited from clinics of the Isfahan University of Medical Sciences between October 2007 and March 2011 underwent the modified Matti-Russe method of surgery. Union rate was evaluated four and six months after the procedure. Mayo wrist score (MWS) was calculated for the subjects six months after surgery.
  
  
  RESULTS
  Mean age of the subjects was 25.9 ± 7.8 years, ranging from 16 to 35 years. Twenty-seven (90%) were men, and three (10%) were women. Four and six months after surgery, 10 (33%) and 26 (86.7%) subjects had a united fracture. Mean MWS was 75.0 ± 8.8 in all the subjects, ranging from 54 to 90 six months after surgery. Three subjects (10%) were grouped as excellent, 9 (30%) good, 16 (53.3%) satisfactory, and 3 (6.7%) poor.
  
  
  CONCLUSIONS
  A fracture or nonunion of the scaphoid bone can be a complex and troubling injury, but the modified Matti-Russe method showed satisfactory results six months after surgery.
authors: Department of Orthopaedic Surgery, Isfahan University of Medical Science, Isfahan, Iran.
authors: Abolghasem
authors: A
authors: Zarezadeh
authors: Department of Orthopaedic Surgery, Isfahan University of Medical Science, Isfahan, Iran.
authors: Mehdi
authors: M
authors: Moezi
authors: Department of Orthopaedic Surgery, Isfahan University of Medical Science, Isfahan, Iran.
authors: Shirvan
authors: S
authors: Rastegar
authors: Department of Orthopaedic Surgery, Isfahan University of Medical Science, Isfahan, Iran.
authors: Mehdi
authors: M
authors: Motififard
authors: Department of Orthopaedic Surgery, Isfahan University of Medical Science, Isfahan, Iran.
authors: Arash
authors: A
authors: Foladi
authors: Medical Students Research Centre, Isfahan University of Medical Science, Isfahan, Iran.
authors: Parnaz
authors: P
authors: Daneshpajouhnejad
keywords: Matti-Russe; Mayo wrist score; scaphoid nonunion