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All patients had radiological signs of radioscaphoid degenerative change (scaphoid nonunion advanced collapse \u2013 scaphoid nonunion advanced collapse - grade II or more) and had surgery more than 2 years after injury. Ten of the 13 patients achieved union at 6 months with all but one of these demonstrating improvement on the Disability of Arm, Shoulder and Hand (DASH) score. Surgeons presented with this difficult patient group might consider reconstruction before salvage procedures.<\/jats:p>","DOI":"10.1177\/1753193411413663","type":"journal-article","created":{"date-parts":[[2011,8,9]],"date-time":"2011-08-09T01:44:52Z","timestamp":1312854292000},"page":"56-60","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Scaphoid nonunion in the presence of a degenerate carpus: don\u2019t rush to salvage surgery"],"prefix":"10.1177","volume":"37","author":[{"given":"M. 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