{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T15:46:09Z","timestamp":1769096769773,"version":"3.49.0"},"reference-count":51,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The surgical treatment of scaphoid nonunions possesses a high risk of surgical failure. There are numerous surgical techniques described, each supported by some evidence of clinical efficacy. To assist hand surgeons in developing a cogent approach to the various clinical scenarios that they may encounter, this manuscript examines the pertinent considerations and available evidence surrounding this topic. These considerations provide guidelines for the creation of an evidence-based surgical algorithm.<\/jats:p>","DOI":"10.1055\/a-2640-4238","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T19:32:36Z","timestamp":1751571156000},"page":"044-049","source":"Crossref","is-referenced-by-count":0,"title":["When to Use Vascularized Bone? An Algorithm for Scaphoid Nonunion Surgery"],"prefix":"10.1055","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8181-6444","authenticated-orcid":false,"given":"James P.","family":"Higgins","sequence":"additional","affiliation":[{"name":"The Curtis National Hand Center, Medstar Union Memorial Hospital, Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,7,3]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1053\/jhsu.2000.8639","article-title":"Role of conventional and vascularized bone grafts in scaphoid nonunion with avascular necrosis: a canine experimental study","volume":"25","author":"T Sunagawa","year":"2000","journal-title":"J Hand Surg Am"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1053\/jhsu.2002.34372","article-title":"Treatment of scaphoid nonunions: quantitative meta-analysis of the 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