title: Arthroscopic Management of Scaphoid Nonunions.
abstract: The difficulty in healing scaphoid nonunions is challenged further by the dynamic, unstable nature of the fracture-fragment interface. Recently, several investigators have introduced a minimally invasive technique for scaphoid nonunion repair, which has the advantages of minimal morbidity and accurate articular reduction, resulting in less postoperative stiffness and increased functional outcomes. However, failure to recognize the critical steps during minimally invasive surgery can result in incorrect treatment or limit any chances for successful bone repair. We reviewed the selected literature pertinent to arthroscopic techniques in the treatment of scaphoid nonunions. Furthermore, we presented a new arthroscopic approach that can be used in place of traditional formal open exposures in challenging cases of nonunion.
authors.affiliation: † Department of Orthopedic Surgery, College of Medicine, Dankook University, Korea.
authors.forename: Midum
authors.initials: M
authors.lastname: Jegal
authors.affiliation: † Department of Orthopedic Surgery, College of Medicine, Dankook University, Korea.
authors.forename: Jeong Sang
authors.initials: JS
authors.lastname: Kim
authors.affiliation: * Department of Orthopedic Surgery, College of Medicine and Department of Kinesiology and Medical Science, Graduate School of Dankook University, Cheonan, Korea.
authors.forename: Jong Pil
authors.initials: JP
authors.lastname: Kim
mesh_terms: D001182:Arthroscopy / Q000379:methods*; D005593:Fracture Fixation, Internal / Q000379:methods*; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D021361:Scaphoid Bone / Q000293:injuries / Q000601:surgery*
keywords: Arthroscopy; Minimal invasive; Nonunion; Percutaneous; Scaphoid