{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T19:20:50Z","timestamp":1770232850810,"version":"3.49.0"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2020,9,24]],"date-time":"2020-09-24T00:00:00Z","timestamp":1600905600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>Objetivo\u2003Descrever os resultados cl\u00ednico-radiogr\u00e1ficos de pacientes tratados por meio de fixa\u00e7\u00e3o percut\u00e2nea sem enxerto \u00f3sseo para pseudartrose do escaf\u00f3ide, com seguimento m\u00ednimo de seis meses.<\/jats:p><jats:p>M\u00e9todos\u2003S\u00e9rie de casos de uma amostra de conveni\u00eancia de grupo de cirurgi\u00f5es de m\u00e3o com avalia\u00e7\u00e3o prospectiva.. Foram inclu\u00eddos pacientes com diagn\u00f3stico de pseudartrose do escaf\u00f3ide (cintura ou polo proximal) com as seguintes caracter\u00edsticas: mais de seis meses de hist\u00f3rico; radiografias demonstrando esclerose das bordas da pseudartrose, com reabsor\u00e7\u00e3o do foco de pseudartrose menor do que 4\u2009mm (Slade &amp; Gleissler I, II, III e IV), sem deformidade angular; e sem necrose do polo proximal pela resson\u00e2ncia magn\u00e9tica (RM).<\/jats:p><jats:p>Resultados\u2003Na avalia\u00e7\u00e3o com mais de seis meses, todas as pseudartroses estavam consolidadas e sem maiores complica\u00e7\u00f5es. Os resultados funcionais demonstraram boas pontua\u00e7\u00f5es nos question\u00e1rios de disfun\u00e7\u00f5es do bra\u00e7o, ombro e m\u00e3o (disabilities of the arm, shoulder and hand, DASH; n\u2009=\u200912; m\u00e9dia: 6,9; desvio padr\u00e3o [DP]: 2,1) e de avalia\u00e7\u00e3o do punho pelo paciente (patient-rated wrist evaluation, PRWE; n\u2009=\u200912; m\u00e9dia: 7,97; DP: 1,5). Observou-se pouca dor residual de acordo com a escala visual anal\u00f3gica (EVA; n\u2009=\u200912; m\u00e9dia: 0,71; DP: 0,2). Houve discreta diminui\u00e7\u00e3o da flex\u00e3o (69 versus 59,1; p\u2009=\u20090,007), da extens\u00e3o (62,4 versus 48,7; p\u2009=\u20090,001) e do desvio radial (29,6 versus 24.6; p\u2009=\u20090,014) em compara\u00e7\u00e3o ao lado contralateral.<\/jats:p><jats:p>Conclus\u00f5es\u2003Nesta s\u00e9rie, todos os casos estavam consolidados ao sexto m\u00eas de avalia\u00e7\u00e3o, com bom status funcional. Trata-se de uma op\u00e7\u00e3o promissora (menor demanda t\u00e9cnica e morbidade) para o tratamento da pseudartrose do escaf\u00f3ide. Estudos comparativos ser\u00e3o \u00fateis para avaliar a efetividade da t\u00e9cnica com rela\u00e7\u00e3o a outras op\u00e7\u00f5es.<\/jats:p>","DOI":"10.1055\/s-0040-1712492","type":"journal-article","created":{"date-parts":[[2020,9,24]],"date-time":"2020-09-24T22:55:22Z","timestamp":1600988122000},"page":"759-763","source":"Crossref","is-referenced-by-count":2,"title":["Fixa\u00e7\u00e3o percut\u00e2nea sem enxerto \u00f3sseo para pseudartrose do escaf\u00f3ide"],"prefix":"10.1055","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3396-479X","authenticated-orcid":false,"given":"Jo\u00e3o Carlos","family":"Belloti","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia da M\u00e3o, Hospital Alvorada, United Health, S\u00e3o Paulo, SP, Brasil"},{"name":"Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo (EPM-Unifesp), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9579-4194","authenticated-orcid":false,"given":"Klebson Bruno Lopes","family":"Vasconcelos","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia da M\u00e3o, Hospital Alvorada, United Health, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0476-8768","authenticated-orcid":false,"given":"Jorge","family":"Raduan Neto","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia da M\u00e3o, Hospital Alvorada, United Health, S\u00e3o Paulo, SP, Brasil"},{"name":"Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo (EPM-Unifesp), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0115-2236","authenticated-orcid":false,"given":"Aldo","family":"Okamura","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia da M\u00e3o, Hospital Alvorada, United Health, S\u00e3o Paulo, SP, Brasil"},{"name":"Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo (EPM-Unifesp), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1646-6764","authenticated-orcid":false,"given":"Marcela","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia da M\u00e3o, Hospital Alvorada, United Health, S\u00e3o Paulo, SP, Brasil"},{"name":"Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo (EPM-Unifesp), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4933-4007","authenticated-orcid":false,"given":"Vin\u00edcius Ynoe","family":"de Moraes","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia da M\u00e3o, Hospital Alvorada, United Health, S\u00e3o Paulo, SP, Brasil"},{"name":"Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo (EPM-Unifesp), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,9,24]]},"reference":[{"key":"ref1","volume-title":"Fractures of the carpal bones","author":"S K Lee","year":"2016"},{"issue":"09","key":"ref2","doi-asserted-by":"crossref","first-page":"1797","DOI":"10.1016\/j.jhsa.2015.05.003","article-title":"Treatment of Scaphoid Nonunion: A Systematic Review of the Existing Evidence","volume":"40","author":"R M Pinder","year":"2015","journal-title":"J Hand Surg Am"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1007\/s00402-018-3087-6","article-title":"Treatment of scaphoid waist nonunion by one, two headless compression screws or plate with or without additional extracorporeal shockwave therapy","volume":"139","author":"S Quadlbauer","year":"2019","journal-title":"Arch Orthop Trauma Surg"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1007\/s11999-009-1032-2","article-title":"Volar percutaneous screw fixation for scaphoid waist delayed union","volume":"468","author":"J K Kim","year":"2010","journal-title":"Clin Orthop Relat Res"},{"issue":"12","key":"ref5","first-page":"729","article-title":"Percutaneous screw fixation without bone grafting of scaphoid non-union","volume":"14","author":"J T Capo","year":"2012","journal-title":"Isr Med Assoc J"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1302\/0301-620X.80B1.0800095","article-title":"Acute percutaneous scaphoid fixation. 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