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Category: Volume 06 Issue 08 August 2018
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Title: Functional Outcome of Surgical Management of Non Union Scaphoid Fracture

Authors: Dr Arun Viswanath, Dr Shanavas E.K*, Prof. C S Vikraman

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i8.171

Abstract

Background: Incidence of scaophoid fracture non union is estimated to be 5-10% despite treatment. Considering the poor prognosis, a number of treatments have been advocated. Though literature supports open reduction, internal fixation and bone grafting, controversy exists regarding the mode of fixation and method of grafting.

Objective: The purpose of this study is to analyze the results and functional outcome of patients with non union scaphoid treated with open reduction and K wire fixatin and bone grafting.

Materials & Methods: 20 patients with Non union waist of scaphoid, treated surgically with K wire fixation and distal radius bone grafting were assessed for the functional outcome using Modified scaphoid outcome scoring system.

Results: At an average follow up of 6 months, there is 95% union rate with this technique. Functionally,15% excellent, 65% good, 15% fair and 5% poor results with the described technique.

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Corresponding Author

Dr Shanavas E.K

Associate Professor, TD medical College, Alappuzha, India