{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T19:49:42Z","timestamp":1789674582233,"version":"4.0.1"},"reference-count":20,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T00:00:00Z","timestamp":1737676800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>We compared the outcomes of two groups of patients with scaphoid nonunion treated with arthroscopic cancellous bone grafting. In group 1, K-wires were introduced beforehand and in group 2 after debridement and packing bone grafts in the nonunion site. Our hypothesis was that the percentage of unions would be higher in group 2. We conducted a retrospective, single-centre comparative study of two consecutive series of patients. Seventeen patients in group 1 were operated between 2011 and 2015 and 25 patients in group 2 between 2015 and 2022. At 3 months, there was already a significant difference in consolidation, with three fractures united in group 1 and 21 in group 2. At 6 months, 10 patients (59%) united in group 1 and 24 (96%) in group 2. Debridement of the nonunion site without K-wires in place may allow a more thorough debridement and extensive filling of the defect with bone graft. If an arthroscopic technique is used for scaphoid nonunion, we do not recommend prior fixation with K-wires.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Level of evidence:<\/jats:bold>\n                    III\n                  <\/jats:p>","DOI":"10.1177\/17531934241312333","type":"journal-article","created":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T08:27:47Z","timestamp":1737707267000},"page":"914-921","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Arthroscopic treatment of scaphoid nonunion with debridement and cancellous bone grafting before or after K-wire fixation"],"prefix":"10.1177","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-6124-6668","authenticated-orcid":false,"given":"Alexandre","family":"Quemener\u2013Tanguy","sequence":"first","affiliation":[{"name":"Orthopedic, Traumatology, Plastic and Hand surgery Unit and CIC IT 808 University Hospital of Besan\u00e7on, Besan\u00e7on F25033, France"},{"name":"Chirurgie de la main, du poignet et du coude, H\u00f4pital Priv\u00e9 Saint Roch, Toulon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00e9my","family":"Vigi\u00e9","sequence":"additional","affiliation":[{"name":"Orthopedic, Traumatology, Plastic and Hand surgery Unit and CIC IT 808 University Hospital of Besan\u00e7on, Besan\u00e7on F25033, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Axel","family":"Koelhy","sequence":"additional","affiliation":[{"name":"Orthopedic, Traumatology, Plastic and Hand surgery Unit and CIC IT 808 University Hospital of Besan\u00e7on, Besan\u00e7on F25033, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Safire","family":"Ballet","sequence":"additional","affiliation":[{"name":"Orthopedic, Traumatology, Plastic and Hand surgery Unit and CIC IT 808 University Hospital of Besan\u00e7on, Besan\u00e7on F25033, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Baptiste","family":"De Villeneuve Bargemon","sequence":"additional","affiliation":[{"name":"Chirurgie de la Main et chirurgie R\u00e9paratrice des Membres, CHU La Timone, Assistance Publique des H\u00f4pitaux de Marseille, Aix Marseille Universit\u00e9, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Levadoux","sequence":"additional","affiliation":[{"name":"Chirurgie de la main, du poignet et du coude, H\u00f4pital Priv\u00e9 Saint Roch, Toulon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,24]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(88)80044-9"},{"key":"e_1_3_4_3_1","first-page":"e2023194","article-title":"Scaphoid fracture non-union: a systematic review of the arthroscopic management","volume":"94","author":"Basso MA","year":"2023","unstructured":"Basso MA, Smeraglia F, Ocampos-Hernandez M, Balato G, Bernasconi A, Corella-Montoya F. 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