title: TREATMENT OF SCAPHOID NONUNION WITH OLECRANON BONE GRAFT AND COMPRESSION SCREW.
abstract: OBJECTIVE
  To evaluate the outcome of olecranon bone graft and compression screw for the treatment of nonunion of the Lichtman type I scaphoid.
  
  
  METHODS
  We evaluated 15 patients of 32 who underwent surgical treatment for nonunion of the Lichtman type I scaphoid with olecranon bone graft and screw compression.
  
  
  RESULTS
  We obtained 100% consolidation in our sample. The mean flexion of the wrist on the affected side was 68° and 75° on the non-affected side. The average extension was 63° and 72°, respectively. The average grip strength was 35 kgf. This corresponds to 98% of the handgrip strength of the non-affected side, which was 37 kgf. The DASH score averaged 5 points.
  
  
  CONCLUSIONS
  We believe that the use of bone graft obtained from the olecranon and secured with cannulated screw is a resolute technique for cases of linear nonunion of the Lichtmann type I scaphoid. It has the advantages of a new anesthesia for removal of the graft and the access is easy, providing a good exposure for removal and good aesthetic results. Level of evidence IV. Case series.
authors.affiliation: . Hospital Lifecenter, Belo Horizonte, MG, Brazil.
authors.forename: Antonio Tufi
authors.initials: AT
authors.lastname: Neder
authors.affiliation: . Hospital Lifecenter, Belo Horizonte, MG, Brazil.
authors.forename: Eduardo Traldi
authors.initials: ET
authors.lastname: Franceschini
authors.affiliation: . Hospital Lifecenter, Belo Horizonte, MG, Brazil.
authors.forename: Arlindo Gomes
authors.initials: AG
authors.lastname: Pardini
authors.affiliation: . Hospital Lifecenter, Belo Horizonte, MG, Brazil.
authors.forename: Marcelo
authors.initials: M
authors.lastname: Riberto
authors.affiliation: . Hospital Lifecenter, Belo Horizonte, MG, Brazil.
authors.forename: Nilton
authors.initials: N
authors.lastname: Mazzer
keywords: Bone transplantation.; Pseudarthrosis; Scaphoid bone