Arthroscopic Scaphoid Grafting Versus Open Grafting in Scaphoid Non Union

Ain Shams University

Status

Completed

Conditions

Scaphoid Fracture Non Union

Treatments

Procedure: open scaphoid grafting with K wires fixation

Procedure: Arthroscopic grafting and k wires fixation

Study type

Interventional

Funder types

Other

Identifiers

NCT07320404

FAMSU MD 288/2019

Details and patient eligibility

About

the investigators compare the arthroscopic grafting technique with the traditional open technique in th treatment of scaphoid non union as regards the union rate, time to union and functional outcomes to provide the best intervention to the patient

Full description

The treatment of scaphoid non union has no gold standard technique so in this study the investigators try to compare the arthroscopic and the open grafting techniques to determine the better technique to achieve union, time to union and the better functional outcomes including wrist range of motion and grip strength as a primary outcome and the secondary outcomes are the operative time, the complications and radiological correction of the hum-back deformity if present.

Enrollment

30 patients

Sex

All

Ages

16+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

scaphoid non-union cases
16 years or older
males or females
independent from chronicity or non-union location and the investigators defined the non union as failure to reach scaphoid union up to 6 months

Exclusion criteria

.Revision scaphoid non-union cases.

Previously operated wrist for any other pathology
Avascular necrosis (AVN) confirmed by intraoperative inspection.
Scaphoid non-union advanced collapse (SNAC) stage 2 and higher.
Any associated wrist pathology that required separate treatment surgical approach.