{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T20:56:00Z","timestamp":1790974560682,"version":"4.1.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Jiangsu Province Xuzhou City Health Commission Youth Project for Medical Science and Technology Innovation","award":["XWKYHT20240041"],"award-info":[{"award-number":["XWKYHT20240041"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    This study evaluated a novel treatment for scaphoid nonunion combining pulsed CO\n                    <jats:sub>2<\/jats:sub>\n                    gas arthroscopy, autologous iliac bone grafting, and robot - navigated screw fixation.\n                    <jats:bold>Methods:<\/jats:bold>\n                    18 patients (mean age 34 \u00b1 5 years, injury duration 19 \u00b1 7 months) with scaphoid nonunion underwent surgery. The procedure included pulsed CO\n                    <jats:sub>2<\/jats:sub>\n                    gas arthroscopy for improved visualization, autologous iliac bone grafting for fracture healing, and robot - navigated screw fixation for stability. Postoperative care involved immediate mobilization, electromagnetic therapy, physical therapy, and short - arm splint immobilization until union.\n                    <jats:bold>Results:<\/jats:bold>\n                    Mean surgical time was 103 \u00b1 35 minutes, with CO\n                    <jats:sub>2<\/jats:sub>\n                    - assisted grafting taking 23.3 \u00b1 6.2 minutes. Average blood loss was 80 \u00b1 25\u00a0mL, and hospital stay was 4.0 \u00b1 1.5 days. The scapholunate angle decreased from 61.8 \u00b1 11.6\u00b0 preoperatively to 52.9 \u00b1 7.0\u00b0 postoperatively (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .001). Fracture union rates reached 38.9% at 2 months, 88.9% at 3 months, and 100% at 6 months. All patients had accurate screw positioning with no infections or loosening. At 6 months, mean grip strength was 36\u00a0kg, pinch strength was 9.0\u00a0kg, and the Modified Mayo Wrist Score was excellent in 15 cases and good in 3.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    By prioritizing vascular preservation through minimally invasive optics and precision fixation, this CO\n                    <jats:sub>2<\/jats:sub>\n                    -robotic integrated approach achieved superior union rates. The paradigm shift from fluid irrigation to gas-phase visualization may redefine standards in extremity arthroscopy.\n                  <\/jats:p>","DOI":"10.1177\/10225536251345192","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T21:25:16Z","timestamp":1748899516000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Pulsed CO\n                    <sub>2<\/sub>\n                    Gas arthroscopy combined with robot-navigated screw fixation and autologous iliac grafting for scaphoid nonunion"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1054-5923","authenticated-orcid":false,"given":"Song","family":"Zhou","sequence":"first","affiliation":[{"name":"Xuzhou Renci Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5071-2610","authenticated-orcid":false,"given":"Da-Jun","family":"Ma","sequence":"additional","affiliation":[{"name":"SK Hynix Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8156-6448","authenticated-orcid":false,"given":"Chuan-Kai","family":"Zhang","sequence":"additional","affiliation":[{"name":"Xuzhou Renci Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guang-Nan","family":"Pei","sequence":"additional","affiliation":[{"name":"Xuzhou Renci Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0177-9988","authenticated-orcid":false,"given":"Liang","family":"Hao","sequence":"additional","affiliation":[{"name":"Xuzhou Renci Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2287-5744","authenticated-orcid":false,"given":"Wei-Ya","family":"Qi","sequence":"additional","affiliation":[{"name":"Xuzhou Renci Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2019.03.002"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-015-0587-8"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2004.04.004"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2019.03.003"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.09.018"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016470410001529"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/145749690809700402"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-020-04840-2"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193419841253"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000009987"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2011.05.011"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/145749690809700405"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.4103\/njcp.njcp_1833_21"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/os.13930"},{"issue":"06","key":"e_1_3_5_16_2","first-page":"756","article-title":"Treatment of scaphoid nonunion with bone grafting and percutaneous internal fixation under wrist arthroscopy","volume":"14","author":"Weiya Q","year":"2020","unstructured":"Weiya Q, Hui Z, Dawei Z, et al. 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