{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T19:34:27Z","timestamp":1773603267283,"version":"3.50.1"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jnl Wrist Surg"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:p>\n            Background\u2003Achieving adequate fixation and healing of small proximal pole acute scaphoid fractures can be surgically challenging due to both fragment size and tenuous vascularity.<\/jats:p><jats:p>\n            Purpose\u2003The purpose of this study was to demonstrate that this injury can be managed successfully with osteosynthesis using a \u201cmicro\u201d small diameter compression screw with distal radius bone graft with leading and trailing screw threads less than 2.8 mm.<\/jats:p><jats:p>\n            Patients and Methods\u2003Patients with proximal pole scaphoid fragments comprising less than 20% of the entire scaphoid were included. Fixation was accomplished from a dorsal approach with a micro headless compression screw and distal radius bone graft. Six patients were included. Average follow-up was 44 months (range, 11\u201392).<\/jats:p><jats:p>\n            Results\u2003Mean proximal pole fragment size was 14% (range, 9\u201318%) of the entire scaphoid. The mean immobilization time was 6 weeks, time-to-union of 6 weeks, and final flexion\/extension arc of 88\u00b0\/87\u00b0. All patients had a successful union, and no patient had deterioration in range of motion, avascular necrosis, or fragmentation of the proximal pole.<\/jats:p><jats:p>\n            Conclusion\u2003Small diameter screws with a maximal thread diameter of\u2009\u2264\u20092.8\u2009mm can be used to fix the union of proximal pole acute scaphoid fractures comprising less than 20% of the total area with good success.<\/jats:p><jats:p>\n            Level of Evidence\u2003Therapeutic case series, Level IV.<\/jats:p>","DOI":"10.1055\/s-0038-1660445","type":"journal-article","created":{"date-parts":[[2018,6,8]],"date-time":"2018-06-08T23:09:41Z","timestamp":1528499381000},"page":"319-323","source":"Crossref","is-referenced-by-count":5,"title":["Micro Screw Fixation for Small Proximal Pole Scaphoid Fractures with Distal Radius Bone Graft"],"prefix":"10.1055","volume":"07","author":[{"given":"Joseph","family":"Schreiber","sequence":"first","affiliation":[{"name":"Division of Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lana","family":"Kang","sequence":"first","affiliation":[{"name":"Division of Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krystle","family":"Hearns","sequence":"first","affiliation":[{"name":"Division of Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracy","family":"Pickar","sequence":"first","affiliation":[{"name":"Division of Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Carlson","sequence":"additional","affiliation":[{"name":"Division of Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2018,6,8]]},"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1660445.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,8,30]],"date-time":"2018-08-30T22:40:41Z","timestamp":1535668841000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0038-1660445"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,8]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2018,8,30]]},"published-print":{"date-parts":[[2018,9]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1660445","relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"value":"2163-3916","type":"print"},{"value":"2163-3924","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,8]]}}}