{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T23:40:42Z","timestamp":1792366842625,"version":"4.4.0"},"reference-count":37,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T00:00:00Z","timestamp":1768694400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100008894","name":"Stryker","doi-asserted-by":"publisher","award":["APSI"],"award-info":[{"award-number":["APSI"]}],"id":[{"id":"10.13039\/100008894","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Scaphoid proximal pole fracture with avascular necrosis is a surgical challenge, particularly in patients with high functional demand. An option is the pyrocarbon adaptive proximal scaphoid implant (APSI), replacing the necrotic proximal pole.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A long-term follow-up study of the early cases treated in our department was conducted. Thirty-six patients with a median follow-up time of 19 years (range, 11-25) were included in the analysis, performing clinical and radiological evaluations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Clinically, significant improvements were observed in mean pain Numeric Rating Scale (from 6.8 [SD 2.1] to 2 [2]), range of motion, grip strength measured with the Jamar dynamometer (from 18\u202f[8] kg to 24\u202f[9] kg), Disabilities of the Arm, Shoulder, and Hand score (from 66\u202f[6.5] to 13.7\u202f[6.4]), and Patient-Rated Wrist Evaluation score (from 73\u202f[10] to 28\u202f[12]). Radiographs showed good implant stability. No patient required implant removal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The APSI prosthesis proves effective long term in relieving pain, improving function, and preventing carpal collapse through stable biomechanical integration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447251404959","type":"journal-article","created":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T13:53:22Z","timestamp":1768744402000},"page":"1668-1675","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The Adaptive Proximal Scaphoid Implant: Long-Term Follow-Up"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3192-2588","authenticated-orcid":false,"given":"Massimo","family":"Corain","sequence":"first","affiliation":[{"name":"University Hospital of Verona (AOUI), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Colombo","sequence":"additional","affiliation":[{"name":"University Hospital of Verona (AOUI), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7614-812X","authenticated-orcid":false,"given":"Umberto","family":"Lavagnolo","sequence":"additional","affiliation":[{"name":"University Hospital of Verona (AOUI), Italy"},{"name":"University of Verona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,18]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.5.190025"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000029930"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2002.34372"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199910000-00006"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181d1808c"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(91)90017-6"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1558944720974120"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1329591"},{"issue":"5","key":"e_1_3_2_10_2","first-page":"582","article-title":"APSI scaphoid hemiarthroplasty\u2014long-term results","volume":"53","author":"Santos FL","year":"2018","unstructured":"Santos FL, Ferreira A, Grazina R, et al. APSI scaphoid hemiarthroplasty\u2014long-term results. Rev Bras Ortop. 2018; 53(5):582-588.","journal-title":"Rev Bras Ortop"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-010-9315-3"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1297-3203(00)73492-5"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(87)80198-3"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193416641590"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afr051"},{"issue":"5","key":"e_1_3_2_16_2","first-page":"575","article-title":"The DASH questionnaire and score in the evaluation of hand and wrist disorders","volume":"74","author":"De Smet L","year":"2008","unstructured":"De Smet L. The DASH questionnaire and score in the evaluation of hand and wrist disorders. Acta Orthop Belg. 2008; 74(5):575-581.","journal-title":"Acta Orthop Belg"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2021.1970250"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199507000-00011"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.2002.0758"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/028443102753478363"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(86)80002-8"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(91)90015-4"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/003591577406701050"},{"issue":"4","key":"e_1_3_2_24_2","first-page":"214","article-title":"R\u00e9sultat 37 ans apr\u00e8s la pose d'un implant acrylique pour traitement d'une pseudarthrose du scapho\u00efde [Results 37 years after insertion of an acrylic implant for scaphoid pseudoarthrosis]","volume":"14","author":"Orsi R","year":"1995","unstructured":"Orsi R, De Tullio V, Brunelli F. R\u00e9sultat 37 ans apr\u00e8s la pose d'un implant acrylique pour traitement d'une pseudarthrose du scapho\u00efde [Results 37 years after insertion of an acrylic implant for scaphoid pseudoarthrosis]. Ann Chir Main Memb Super. 1995;14(4-5):214-217.","journal-title":"Ann Chir Main Memb Super"},{"issue":"342","key":"e_1_3_2_25_2","first-page":"46","article-title":"Carpal bone titanium implant arthroplasty","volume":"1997","author":"Swanson AB","unstructured":"Swanson AB, de Groot Swanson G, DeHeer DH, et al. Carpal bone titanium implant arthroplasty. Clin Orthop Relat Res. 1997(342):46-58.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(93)90223-3"},{"key":"e_1_3_2_27_2","first-page":"266","volume-title":"Principles and Practice of Wrist Surgery","author":"Wahegaonkar Al","unstructured":"Wahegaonkar Al, Mathoulin CL. Unconstrained pyrocarbon spacers in wrist surgery. In: Slutsky DJ, ed. Principles and Practice of Wrist Surgery. Saunders; 2010:266."},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/0142-9612(86)90056-6"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/145749690209100210"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193413519384"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193420906805"},{"issue":"5","key":"e_1_3_2_32_2","first-page":"490","article-title":"A review of pyrolytic carbon: application in bone and joint surgery","volume":"32","author":"Tian CL","year":"1993","unstructured":"Tian CL, Hetherington VJ, Reed S. A review of pyrolytic carbon: application in bone and joint surgery. J Foot Ankle Surg. 1993;32(5):490-498.","journal-title":"J Foot Ankle Surg"},{"key":"e_1_3_2_33_2","first-page":"135","article-title":"L\u2019utilizzo della protesi RCPI nel trattamento della patologia cronica del polso: tecnica chirurgica e risultati","volume":"37","author":"Marcuzzi A","year":"2011","unstructured":"Marcuzzi A, Fini N, Russomando A, et al. L\u2019utilizzo della protesi RCPI nel trattamento della patologia cronica del polso: tecnica chirurgica e risultati. Giornale Italiano di Ortopedia e Traumatologia. 2011;37:135-144.","journal-title":"Giornale Italiano di Ortopedia e Traumatologia"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhse.2007.02.048"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.47102\/annals-acadmedsg.V42N6p278"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hansur.2018.10.245"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1681034"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.52965\/001c.30721"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447251404959","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15589447251404959","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447251404959","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T23:19:31Z","timestamp":1792365571000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15589447251404959"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,18]]},"references-count":37,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1177\/15589447251404959"],"URL":"https:\/\/doi.org\/10.1177\/15589447251404959","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,18]]}}}