en Hand Surgery Hand Surgery Original Research Original Research <p> <strong>Abstract</strong></p><p> <strong>Background:</strong> The varieties of treatment methods for the scaphoid non:::union::: have always</p><p> been a discussable issue for orthopaedic surgeons. The current study, considered to be</p><p> review for treatment results of the patients who sustained the scaphoid non:::union::: with or</p><p> without avascular necrosis and compared these two groups clinically and radiologically.</p><p> <strong>Methods: </strong>The clinical and radiologic files of the patients who sustained the scaphoid</p><p> non:::union::: and underwent surgical treatment between 2004 and 2009 in our hospital, were</p><p> collected and in the final follow-up, 37 patients and 38 non:::union:::s underwent physical exam,</p><p> grip power test, DASH questionnaire and radiography.</p><p> Results: Avascular necrosis was detected in 22 cases and 16 cases had no avascular</p><p> necrosis changes. Following open reduction and bone grafing, :::union::: was seen in 36 cases,</p><p> and non:::union::: in 2 cases which one was in the avascular necrosis group and another in without</p><p> avascular necrosis group. The comparison of the residual pain, range of motion, DASH</p><p> score and grip power in two groups, did not show a meaningful difference (p>0.05).</p><p> <strong>Conclusion: </strong>Although multiple studies indicated that in the presence of the avascular</p><p> necrosis in the proximal fragment of the scaphiod, possibility of :::union::: in the conventional</p><p> graft methods was lower than vascular pedicle grafts, but this study demonstrated that the</p><p> conventional treatment method yet was associated with a considerable successs and a reliable</p><p> treatment method.</p> Scaphoid non:union:, avascular necrosis. 208 211 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-128&slc_lang=en&sid=1 Davood Jafari 20031947532846001341 20031947532846001341 No Bahram Rahbar Farkhui 20031947532846001342 20031947532846001342 No Iman Qomashi imanqomashi@yahoo.com 20031947532846001343 20031947532846001343 Yes