{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:53:46Z","timestamp":1790812426032,"version":"4.1.0"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T00:00:00Z","timestamp":1618790400000},"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":[[2022,6]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003O objetivo do presente estudo foi analisar os resultados cl\u00ednicos e radiol\u00f3gicos de pacientes com n\u00e3o consolida\u00e7\u00e3o do escafoide do tipo 5 que foram tratados com enxerto percut\u00e2neo e parafuso.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Um total de 11 pacientes foram tratados com enxerto \u00f3sseo percut\u00e2neo com fixa\u00e7\u00e3o de parafuso. Os crit\u00e9rios de inclus\u00e3o no estudo foram n\u00e3o consolida\u00e7\u00e3o do escafoide do tipo 5 e idade &gt; 18 anos. Foram exclu\u00eddos do estudo aqueles com deformidade corcunda, artrite, dano ligamentar determinado por resson\u00e2ncia magn\u00e9tica ou necrose avascular (NAV) no fragmento de n\u00e3o consolida\u00e7\u00e3o.<\/jats:p><jats:p>\n          Resultados\u2003O tempo m\u00e9dio de seguimento foi de 36 meses (intervalo: 15\u201353 meses). No exame final de seguimento, o escore m\u00e9dio de escala visual anal\u00f3gica foi de 1,06 (intervalo: 0\u20132,3). No p\u00f3s-operat\u00f3rio, a extens\u00e3o m\u00e9dia foi de 61,6\u00b0 (44\u201380\u00b0), flex\u00e3o 66\u00b0 (60\u201380\u00b0), desvio radial 12\u00b0 (7-\u201320\u00b0) e desvio ulnar 25\u00b0 (20\u201334\u00b0). A for\u00e7a m\u00e9dia de ader\u00eancia da m\u00e3o operada foi de 94% em compara\u00e7\u00e3o com o lado saud\u00e1vel. Os resultados obtidos no Mayo Modified Wrist Score foram ruins em 2 pacientes, bons em 2 e excelentes em 7 (64%). Com exce\u00e7\u00e3o de 2 pacientes, a consolida\u00e7\u00e3o foi confirmada radiologicamente em 9 pacientes com m\u00e9dia de 12,6 semanas (intervalo: 8\u201316 semanas).<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003Enxerto percut\u00e2neo e fixa\u00e7\u00e3o de parafusos n\u00e3o podem substituir a cirurgia aberta em casos de deformidade, encurtamento ou acorcundamento ou em n\u00e3o consolida\u00e7\u00e3o a longo prazo; no entanto, \u00e9 um m\u00e9todo de tratamento confi\u00e1vel e eficaz em casos selecionados, tais como a n\u00e3o consolida\u00e7\u00e3o do tipo V de Slade e Dodds.<\/jats:p>","DOI":"10.1055\/s-0041-1724077","type":"journal-article","created":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T23:00:45Z","timestamp":1618873245000},"page":"437-442","source":"Crossref","is-referenced-by-count":2,"title":["Enxerto percut\u00e2neo e fixa\u00e7\u00e3o de parafusos em pacientes com n\u00e3o consolida\u00e7\u00e3o do escafoide"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4544-3644","authenticated-orcid":false,"given":"Muhittin","family":"Sener","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Izmir Atat\u00fcrk Training and Research Hospital, Izmir, Turquia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9843-790X","authenticated-orcid":false,"given":"Eyup Cagatay","family":"Zengin","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Gaziosmanpa\u015fa Univercity, Tokat, Turquia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7876-4479","authenticated-orcid":false,"given":"Sertac","family":"Saruhan","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Izmir Bozyaka Training and Research Hospital, Izmir, Turquia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,4,19]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1177\/1753193415604778","article-title":"Scaphoid fracture non-union: a systematic review of surgical treatment using bone graft","volume":"41","author":"D O Ferguson","year":"2016","journal-title":"J Hand Surg Eur Vol"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1302\/0301-620X.71B2.2925752","article-title":"Patterns of union in fractures of the waist of the scaphoid","volume":"71","author":"J J Dias","year":"1989","journal-title":"J Bone Joint Surg Br"},{"issue":"445","key":"ref3","first-page":"108","article-title":"Minimally invasive management of scaphoid nonunions","volume":"445","author":"J F Slade 3rd","year":"2006","journal-title":"Clin Orthop Relat Res"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1097\/BTH.0b013e3181877644","article-title":"Percutaneous management of scaphoid nonunions","volume":"13","author":"J T Capo","year":"2009","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"S 04","key":"ref5","first-page":"20","article-title":"Percutaneous internal fixation of selected scaphoid nonunions with an arthroscopically assisted dorsal approach","volume":"85-A","author":"J F Slade 3rd","year":"2003","journal-title":"J Bone Joint Surg Am"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1007\/s004020050411","article-title":"Correlation of magnetic resonance imaging and intraoperative punctate bleeding to assess the vascularity of scaphoid nonunion","volume":"119","author":"I G\u00fcnal","year":"1999","journal-title":"Arch Orthop Trauma Surg"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1097\/BTH.0000000000000137","article-title":"Internal bone grafting for the treatment of scaphoid nonunions","volume":"21","author":"U Aydin","year":"2017","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1055\/s-0039-1693146","article-title":"Arthroscopically assisted bone grafting reduces union time of scaphoid nonunions compared to percutaneous screw fixation alone","volume":"9","author":"R Gvozdenovic","year":"2020","journal-title":"J Wrist Surg"},{"issue":"09","key":"ref9","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1016\/j.jhsa.2018.03.048","article-title":"Screw fixation alone for scaphoid fracture nonunion","volume":"43","author":"S MC Ernst","year":"2018","journal-title":"J Hand Surg Am"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1053\/jhsu.2002.34372","article-title":"Treatment of scaphoid nonunions: quantitative meta-analysis of the literature","volume":"27","author":"G A Merrell","year":"2002","journal-title":"J Hand Surg Am"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1007\/s11999-015-4495-3","article-title":"Is arthroscopic bone graft and fixation for scaphoid nonunions effective?","volume":"474","author":"H J Kang","year":"2016","journal-title":"Clin Orthop Relat Res"},{"issue":"07","key":"ref12","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1302\/0301-620X.93B7.25418","article-title":"Percutaneous screw fixation without bone grafting for established scaphoid nonunion with substantial bone loss","volume":"93","author":"M Mahmoud","year":"2011","journal-title":"J Bone Joint Surg Br"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1142\/S242483551650034X","article-title":"Percutaneous fixation for scaphoid nonunion with bone grafting through the distal insertion hole of fully threaded headless screw","volume":"21","author":"S Ohta","year":"2016","journal-title":"J Hand Surg Asian Pac Vol"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"506","DOI":"10.3889\/oamjms.2018.139","article-title":"The outcome of using jamshidi biopsy trochar needle in a novel technique for bone grafting in percutaneous internal fixation of scaphoid nonunion","volume":"6","author":"S Bokhari","year":"2018","journal-title":"Open Access Maced J Med Sci"},{"issue":"04","key":"ref15","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/J.JHSB.2005.04.005","article-title":"Treatment of scaphoid non-union with a percutaneous corticocancellous bone graft","volume":"30","author":"P H Bullens","year":"2005","journal-title":"J Hand Surg [Br]"},{"issue":"03","key":"ref16","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1007\/s11552-015-9741-3","article-title":"Compression screw fixation without bone grafting for scaphoid fibrous nonunion","volume":"10","author":"J S Somerson","year":"2015","journal-title":"Hand (N Y)"}],"container-title":["Revista Brasileira de Ortopedia"],"original-title":[],"language":"pt","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1724077.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T23:42:33Z","timestamp":1656632553000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1724077"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,19]]},"references-count":16,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2022,6,30]]},"published-print":{"date-parts":[[2022,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1724077","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0102-3616","1982-4378"],"issn-type":[{"value":"0102-3616","type":"print"},{"value":"1982-4378","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,19]]}}}