Outcome analysis reveals that fixation without grafting offers comparable results in stable scaphoid nonunions, suggesting tailored treatment is crucial.
Fixation without grafting is viable in selected stable SNUs, offering comparable union and superior function, albeit with longer HT. Bone grafting remains advantageous in cystic, long-standing, or biologically compromised NUs. Treatment should be tailored based on NU characteristics and patient factors.
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Elshahhat et al. (2026) studied this question.
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