{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T11:16:21Z","timestamp":1777547781683,"version":"3.51.4"},"reference-count":48,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,4,23]],"date-time":"2021-04-23T00:00:00Z","timestamp":1619136000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Whether pedicled vascularized bone grafts (PVBGs) are beneficial over non\u2010vascularized bone grafts (NVBGs) still remains controversial. The aim of this study was to compare the clinical results of PVBGs and NVBGs for the treatment of scaphoid non\u2010union.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a meta\u2010analysis of the published studies comparing outcomes of these two different surgical techniques for scaphoid non\u2010union. Outcomes of union rate, time to union, functional results and re\u2010operation rate were analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seven studies including four randomized controlled studies and three retrospective comparative studies with 413 participants were identified fitting inclusion criteria. Meta\u2010analysis showed that (i) union rate in PVBG groups was 1.13 times of NVBG groups (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.002); (ii) the PVBG groups reached bone union significantly earlier by 1.73\u2009weeks (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01); (iii) there was no significant difference in functional results, including active range of motion, grip strength, Mayo Wrist Score and excellent and good rate (<jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05); and (iv) re\u2010operation rate was similar between the two groups (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.65).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although the PVBG technique attains higher union rate and earlier union, this radiological advantage does not bring any functional benefits. In addition, PVBGs are of greater technical difficulty and need more operation requirements. Hence, clinicians should be cautious in electing PVBGs for treating scaphoid non\u2010union.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.16894","type":"journal-article","created":{"date-parts":[[2021,4,23]],"date-time":"2021-04-23T09:24:06Z","timestamp":1619169846000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Pedicled vascularized versus non\u2010vascularized bone grafts in the treatment of scaphoid non\u2010union: a meta\u2010analysis of comparative studies"],"prefix":"10.1111","volume":"91","author":[{"given":"Hanyu","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Subei People's Hospital, Clinical Medical College Yangzhou University  Yangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaxiang","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Hand and Foot Surgery, Subei People's Hospital, Clinical Medical College Yangzhou University  Yangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongjun","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Hand and Foot Surgery, Subei People's Hospital, Clinical Medical College Yangzhou University  Yangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4354-422X","authenticated-orcid":false,"given":"Chaoqun","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Hand and Foot Surgery, Subei People's Hospital, Clinical Medical College Yangzhou University  Yangzhou China"},{"name":"Shanghai Tenth People's Hospital Clinical Medical College of Nanjing Medical University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,4,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2012.03.004"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.83B6.11897"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B5.14374"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2002.34372"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.71B2.2925752"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000000993"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0000000000000215"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(80)80087-6"},{"key":"e_1_2_7_10_1","first-page":"548","article-title":"Management of nonunion following surgical management of scaphoid fractures: current concepts","volume":"21","author":"Moon ES","year":"2013","journal-title":"J. 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