RADIOLOGICAL OUTCOME OF SCAPHOID NONUNION TREATED WITH TRICORTICAL ILIAC CREST AUTOGRAFT

Qaisar Azim; Ahmad Jawad Mufti; Nouman Rauf; Muhammad Shah Fahad; Qazi Shahrukh

doi:10.46903/gjms/23.1.1143

RADIOLOGICAL OUTCOME OF SCAPHOID NONUNION TREATED WITH TRICORTICAL ILIAC CREST AUTOGRAFT

Qaisar Azim, Ahmad Jawad Mufti, Nouman Rauf, Muhammad Shah Fahad, Qazi Shahrukh

Abstract

Background: Fractures of the scaphoid are one of the most common significant wrist injuries. Most of these fractures, if diagnosed early and treated promptly, heal well. This study aimed to determine the radiological outcome of scaphoid nonunion treated with tricortical iliac crest autograft.

Materials & Methods: A total of 30 patients were included in the study. Patients who had trauma three or more months back and had a visible fracture and a humpback were included in the study. In contrast, patients who were previously operated on for scaphoid pathologies or had preexisting arthritis were excluded. Plain radiographs in AP (including scaphoid), Lateral view, CT and MRI, were ordered, and baseline investigations were done in all patients.

Results: Out of the included 30 patients, 26 (86%) were male, and the remaining 04 (14%) were female. The mean age of our patients was 32.5±5.87 years. Right-sided scaphoid nonunion was present in 21 (70%) patients and left in 09 (30%) patients. The dominant hand was involved in 23 (76.66%) patients, while 07 (23.34%) had involvement of their nondominant hand. The majority (73.3%, n=22) of patients had nonunion scaphoid due to failed conservative treatment, while 08 (26.6%) patients had nonunion due to delay in diagnosis. Postoperatively all patients achieved radiological union. The mean union time was 12±3 weeks. All patients followed up to 24±3 weeks.
Conclusion: Scaphoid nonunion can be treated with a bone graft from iliac crest graft along with fixation with Herbert headless compression screw with an excellent radiological outcome.

Keywords

Scaphoid Bone; Iliac Crest Bone; Autograft; Bone Screws.

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References

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DOI: https://doi.org/10.46903/gjms/23.1.1143