بررسی نتایج عملکردی و رادیولوژیک درمان جوش نخوردگی اسکافوئید به دنبال پیوند استخوان با و بدون تثبیت

    Background: Scaphoid fracture, as the most common fracture of the wrist, is complicated sometimes by non-:::union:::. The purpose of this study is  to compare radiologic and functional outcomes in patients with scaphoid non-:::union::: who were treated by bone graft with fixation (pin or screw) or without fixation.Methods: In this cohort retrospective study, all patients with scaphoid non-:::union::: who presented and underwent operation from 2004 through the first six-months of 2009 in  Shafa Yahayaian hospital were invited. Of the total 58 patients, 37 patients (39 non-:::union:::s) were included. Using wrist radiography (AP and lateral) and Modified Green-O'Brien classification, :::union::: and functional outcomes were assessed respectively and results were compared with Chi-square test. Data analysis was done with SPSS V.13.0.Results: Twenty-seven surgeries (69.2%) were done by fixation and 12 (30.8%) without fixation. In fixation group, 25 cases (92.6%) had :::union::: and in the other group(non fixation) all 12 patients (100%) had :::union::: (p = 0.4). In the fixation group 2 patients had fair, 17 had good, and 8 had excellent results. In the other group, one, 7, and 4 patients had fair, good, and excellent results, respectively (p = 0.9).   Conclusion: Decision to perform fixation or not is based on operation findings, non-:::union::: type and surgeon's opinion and experience. Based on the  obtained results, there was no significant difference regarding :::union::: rate and functional class between the two studied groups