{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T22:59:41Z","timestamp":1775084381977,"version":"3.50.1"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:p>Management of proximal pole scaphoid nonunion remains a challenging problem. Multiple surgical techniques have been described, although no treatment has proven superior. Recent studies have questioned the need for vascularized bone grafting, even in in the setting of avascular proximal poles. We present a relatively simple technique of intramedullary autogeneous cancellous bone grafting that does not disturb the intact cortical shell of the nonunion, which has so far provided gratifying clinical results.<\/jats:p>","DOI":"10.1097\/bth.0000000000000229","type":"journal-article","created":{"date-parts":[[2019,1,19]],"date-time":"2019-01-19T08:46:48Z","timestamp":1547887608000},"page":"88-93","source":"Crossref","is-referenced-by-count":3,"title":["Treatment of Proximal Pole Scaphoid Fracture Nonunions With Intramedullary Cancellous Autograft and Cannulated Headless Compression Screw"],"prefix":"10.1097","volume":"23","author":[{"given":"Evan P.","family":"Trupia","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert J.","family":"Strauch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20230901","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.ocl.2012.09.003","article-title":"The Scaphoid","volume":"44","author":"Sendher","year":"2013","journal-title":"Orthop Clin N Am"},{"key":"R2-20230901","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1007\/s00776-006-1025-x","article-title":"Scaphoid fractures and nonunions: diagnosis and treatment","volume":"11","author":"Steinmann","year":"2006","journal-title":"J Orthop Sci"},{"key":"R3-20230901","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1016\/j.jhsa.2010.05.017","article-title":"Incidence estimates and demographics of scaphoid fracture in the U.S. population","volume":"35","author":"Tassel","year":"2010","journal-title":"J Hand Surg"},{"key":"R4-20230901","doi-asserted-by":"crossref","first-page":"1316","DOI":"10.1016\/j.injury.2009.03.045","article-title":"The incidence of scaphoid fracture in a military population","volume":"40","author":"Wolf","year":"2009","journal-title":"Injury"},{"key":"R5-20230901","doi-asserted-by":"crossref","first-page":"759","DOI":"10.2106\/00004623-196042050-00002","article-title":"Fracture of the carpal navicular","volume":"42","author":"Russe","year":"1960","journal-title":"J Bone Jt Surg"},{"key":"R6-20230901","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1016\/S0363-5023(89)80050-4","article-title":"Retrograde Herbert screw fixation for treatment of proximal pole scaphoid nonunions","volume":"14","author":"Demaagd","year":"1989","journal-title":"J Hand Surg"},{"key":"R7-20230901","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1016\/S0363-5023(85)80191-X","article-title":"The effect of avascular necrosis on Russe bone grafting for scaphoid nonunion","volume":"10","author":"Green","year":"1985","journal-title":"J Hand Surg"},{"key":"R8-20230901","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1177\/1753193417743438","article-title":"Fixation of proximal pole scaphoid nonunion with non-vascularized cancellous autograft","volume":"43","author":"Luchetti","year":"2017","journal-title":"J Hand Surg Eur Vol"},{"key":"R9-20230901","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":"Merrell","year":"2002","journal-title":"J Hand Surg"},{"key":"R10-20230901","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1016\/0363-5023(91)90017-6","article-title":"A new vascularized bone graft for scaphoid nonunion","volume":"16","author":"Zaidemberg","year":"1991","journal-title":"J Hand Surg"},{"key":"R11-20230901","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1054\/jhsb.2000.0378","article-title":"Primary vascularized distal radius bone graft for nonunion of the scaphoid","volume":"25","author":"Uerpairojkit","year":"2000","journal-title":"J Hand Surg"},{"key":"R12-20230901","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/j.jassh.2004.09.008","article-title":"Scaphoid proximal pole fractures and nonunions","volume":"4","author":"Segalman","year":"2004","journal-title":"J Am Soc Surg Hand"},{"key":"R13-20230901","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.jhsa.2017.06.075","article-title":"The role of medial femoral condyle free vascularized bone graft for the treatment of failed scaphoid nonunion surgery associated with proximal pole avascular necrosis","volume":"42","author":"Pulos","year":"2017","journal-title":"J Hand Surg"},{"key":"R14-20230901","first-page":"424","article-title":"Non-union of fractures of the carpal navicular","volume":"20","author":"Obletz","year":"1938","journal-title":"J Bone Jt Surg"},{"key":"R15-20230901","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1016\/S0363-5023(80)80087-6","article-title":"The vascularity of the scaphoid bone","volume":"5","author":"Gelberman","year":"1980","journal-title":"J Hand Surg"},{"key":"R16-20230901","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/j.jhsa.2012.12.030","article-title":"Scaphoid waist nonunion with humpback deformity treated without structural bone graft","volume":"38","author":"Cohen","year":"2013","journal-title":"J Hand Surg"},{"key":"R17-20230901","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1177\/1558944716628497","article-title":"Proximal scaphoid pole reconstruction utilizing ipsilateral proximal hamate autograft","volume":"11","author":"Elhassan","year":"2016","journal-title":"Hand"},{"key":"R18-20230901","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1016\/S0363-5023(05)80438-1","article-title":"Iliac crest bone grafting and herbert screw fixation of nonunions of the scaphoid with avascular proximal poles","volume":"20","author":"Robbins","year":"1995","journal-title":"J Hand Surg"},{"key":"R19-20230901","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1097\/00003086-199710000-00019","article-title":"Herbert screw fixation for scaphoid nonunions; an analysis of factors influencing outcome","volume":"343","author":"Inoue","year":"1997","journal-title":"Clin Orthop Rel Res"},{"key":"R20-20230901","doi-asserted-by":"crossref","first-page":"428","DOI":"10.2106\/00004623-198567030-00013","article-title":"The natural history of scaphoid non-union. A review of fifty-five cases","volume":"67","author":"Ruby","year":"1985","journal-title":"J Bone Jt Surg"}],"container-title":["Techniques in Hand &amp; Upper Extremity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00130911-201906000-00010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T01:32:21Z","timestamp":1693531941000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00130911-201906000-00010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1097\/bth.0000000000000229","relation":{},"ISSN":["1089-3393"],"issn-type":[{"value":"1089-3393","type":"print"}],"subject":[],"published":{"date-parts":[[2019,6]]}}}