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Related Experiment Videos

Pediatric scaphoid nonunion.

George D Chloros1, George S Themistocleous, Ethan R Wiesler

  • 1First Department of Orthopaedic Surgery, University of Athens School of Medicine, KAT Accident Hospital, Athens, Greece. gchlorosdoc@uk2.net

The Journal of Hand Surgery
|February 6, 2007
PubMed
Summary
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Pediatric scaphoid nonunions treated with Herbert screw fixation and bone grafting achieved reliable union in all cases. This surgical approach resulted in pain-free wrists and excellent functional outcomes for young patients.

Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Hand surgery

Background:

  • Scaphoid nonunion is a challenging condition in pediatric patients.
  • Traditional treatments may have limitations in achieving union and restoring function.

Purpose of the Study:

  • To evaluate the efficacy of Herbert screw fixation combined with iliac crest bone grafting for pediatric scaphoid nonunions.
  • To assess functional outcomes and union rates in skeletally immature patients.

Main Methods:

  • Retrospective review of 12 pediatric cases with scaphoid waist nonunion.
  • Treatment involved open reduction, iliac crest bone grafting, and Herbert screw fixation.
  • Follow-up included clinical assessment and radiographic evaluation of union.

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Main Results:

  • All 12 patients achieved clinical and radiographic union at an average of 3.4 months.
  • Patients reported minimal pain and maintained wrist range of motion comparable to the contralateral side.
  • Grip strength averaged 96% of the uninjured side, with excellent or good Modified Mayo Wrist scores in all cases.

Conclusions:

  • Herbert screw fixation with bone grafting is a reliable and effective treatment for pediatric scaphoid nonunions.
  • This surgical technique leads to high union rates and satisfactory functional recovery in young patients.
  • The procedure demonstrated a low complication rate.