{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:30:16Z","timestamp":1763465416734,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of our study was to evaluate the correlation between the radiological signs of union and functional outcomes in patients with surgically treated scaphoid non-unions. \\r\\nMethods: In our study, we evaluated 13 patients who underwent surgery at our clinic for complaints resulting from an unhealed scaphoid fracture. Of the scaphoid non-unions, 9 were on the scaphoid body and 4 were on the proximal pole. According to Slade\u2019s classification system, there were two Grade 4, eight Grade 5, and three Grade 6 fractures. The patients were all male with a mean age of 31, with 25 months of mean time between the onset of trauma and surgery. All fractures were treated through open reduction with autogenous bone grafting (cancellous in 4 cases; corticocancellous in 9 cases) and fixation with compression screws. Bone morphology and carpal alignment were assessed through radiography, using the scaphoid index and scapholunate angle measurements, respectively. Range of motion and grip strength measurements together with the modified Mayo wrist scores were used in the assessment of wrist functionality. \\r\\nResults: Average duration of follow-up was 16 months. In 10 patients, radiological union was attained in a mean time of 12.4 weeks following the operation. There was a substantial improvement in grip strength and range of motion values after surgery. The preoperative mean modified Mayo wrist score of 41.5 improved to 79.2 postoperatively. Accordingly, 4 patients had perfect, 2 had good, 5 had fair and 2 had poor results. The surgical treatment allowed the preoperative mean scapholunate angle of 45.8\u00b0 and the preoperative mean scaphoid index of 0.69 to be reduced to 32\u00b0 and 0.6, respectively. The humpback deformity present in 11 patients before the surgery was restored in 10 patients by reconstruction of the scaphoid bone length. Abnormal carpal alignment was restored in 4 of these patients. No statistically significant correlation was found between the functional results and the surgically attained structural restorations and union process. \\r\\nConclusion: The surgical treatment of scaphoid fracture non-unions can correct bone morphology and resolve alignment problems but might not be sufficient for the improvement of functional results.\n\n\u00d6zet\n\nAma\u00e7: \u00c7al\u0131\u015fmam\u0131zda kaynamam\u0131\u015f skafoid k\u0131r\u0131klar\u0131n\u0131n cerrahi tedavisi sonucunda sa\u011flanan radyolojik iyile\u015fme bulgular\u0131 ve klinik sonu\u00e7lar aras\u0131ndaki ili\u015fkinin de\u011ferlendirilmesi ama\u00e7land\u0131. \\r\\n\u00c7al\u0131\u015fma plan\u0131: Kaynamayan skafoid k\u0131r\u0131klar\u0131n\u0131n neden oldu\u011fu yak\u0131nmalarla klini\u011fimize ba\u015fvuran ve cerrahi olarak tedavi edilen 13 hasta geriye d\u00f6n\u00fck olarak de\u011ferlendirildi. Kaynama bulgular\u0131 g\u00f6stermeyen k\u0131r\u0131klar\u0131n 9\u2019u g\u00f6vde, 4\u2019\u00fc proksimal kutup b\u00f6lgesindeydi. K\u0131r\u0131klar\u0131n Slade\u2019in s\u0131n\u0131flamas\u0131na g\u00f6re 2\u2019si 4. derece, 8\u2019i 5. derece, 3\u2019\u00fc ise 6. derece idi. T\u00fcm\u00fc erkek olan hastalar\u0131n ya\u015f ortalamas\u0131 31 olup, travmadan sonra ge\u00e7en s\u00fcre ortalama 25 ay idi. K\u0131r\u0131klar\u0131n t\u00fcm\u00fc a\u00e7\u0131k yerle\u015ftirme, otojen greftleme (4 olguda kansell\u00f6z, 9 olguda kortikokansell\u00f6z) ve kompresyon vidas\u0131 tespiti ile tedavi edildi. Hastalar\u0131n el bile\u011fi hareketleri ve kavrama kuvvetleri \u00f6l\u00e7\u00fcld\u00fc. Kemik morfolojisi, skafoid indeks ve karpal dizilim skafolunat a\u00e7\u0131 \u00f6l\u00e7\u00fcmlerine dayal\u0131 olarak radyolojik a\u00e7\u0131dan de\u011ferlendirildi. El bile\u011finin i\u015flevselli\u011finin de\u011ferlendirilmesinde, hareket a\u00e7\u0131kl\u0131\u011f\u0131 ve kavrama kuvveti \u00f6l\u00e7\u00fcmleri ile uyarlanm\u0131\u015f Mayo el bile\u011fi de\u011ferlendirme \u00f6l\u00e7\u00fctleri kullan\u0131ld\u0131. \\r\\nBulgular: Hastalar\u0131n ortalama g\u00f6zlem s\u00fcresi 16 ay idi. On hastada ortalama 12.4 hafta sonunda radyolojik kaynama sa\u011fland\u0131. Cerrahi sonras\u0131nda kavrama kuvvetleri ve hareket a\u00e7\u0131kl\u0131\u011f\u0131 de\u011ferlerinde belirgin geli\u015fme g\u00f6r\u00fcld\u00fc. Uyarlanm\u0131\u015f Mayo el bile\u011fi de\u011ferlendirme \u00f6l\u00e7\u00fctlerine g\u00f6re cerrahi \u00f6ncesi d\u00f6nemde \u00f6l\u00e7\u00fclen puan ortalama 41.5 iken, cerrahi sonras\u0131nda ortalama 79.2 puan oldu. Buna g\u00f6re 4 hastada m\u00fckemmel, 2 hastada iyi, 5 hastada orta ve 2 hastada ise k\u00f6t\u00fc sonu\u00e7 al\u0131nd\u0131. Cerrahi \u00f6ncesinde ortalama 45.8\u00b0 olan skafolunat a\u00e7\u0131, cerrahi tedaviyle ortalama 32\u00b0\u2019ye; ortalama 0.69 olan skafoid indeks, ortalama 0.6\u2019ya geriledi. Tedavi \u00f6ncesi 11 hastada g\u00f6r\u00fclen kamburla\u015fman\u0131n, skafoid kemi\u011fin uzunlu\u011funun yeniden d\u00fczenlenmesiyle 10 hastada d\u00fczeldi\u011fi saptand\u0131. Bu hastalar\u0131n 4\u2019\u00fcnde bozuk olan karpal dizilim d\u00fczeltildi. Cerrahi olarak sa\u011flanan yap\u0131sal d\u00fczeltmeler ve kaynama ile i\u015flevsel sonu\u00e7lar aras\u0131nda istatistiksel olarak anlaml\u0131 bir ili\u015fki bulunamad\u0131. \\r\\n\u00c7\u0131kar\u0131mlar: Kaynamayan skafoid k\u0131r\u0131klar\u0131n cerrahi tedavisi esnas\u0131nda kemik morfolojisi ve dizilim sorunlar\u0131 d\u00fczeltilebilir. Ancak bu de\u011ferlerde sa\u011flanan d\u00fczeltmeler ve kaynama, i\u015flevsel sonu\u00e7lar\u0131n iyile\u015ftirilmesi i\u00e7in yeterli olmayabilir.<\/jats:p>","DOI":"10.3944\/aott.2011.2437","type":"journal-article","created":{"date-parts":[[2012,1,24]],"date-time":"2012-01-24T06:02:26Z","timestamp":1327384946000},"page":"399-405","source":"Crossref","is-referenced-by-count":6,"title":["Comparative evaluation of radiographic and functional outcomes in the surgical treatment of scaphoid nonunions"],"prefix":"10.5152","volume":"45","author":[{"given":"Ayhan","family":"Kilic","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sami","family":"Sokucu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atilla","family":"S. Parmaksizoglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murat","family":"Gul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yavuz","family":"S. Kabukcuoglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2533\/2489","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:27:48Z","timestamp":1763465268000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2533"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2011,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2011.2437","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}