Objective In order to investigate the delayed treatment on clinical outcomes of wedge grafting for scaphoid fractures nonunion were retrospectively studied. Methods We retrospectively investigated to accepting palm wedge graft screw fixation of scaphoid delayed union and nonunion of the patients in our hospital, patients were divided into group A (early reconstruction group) and group B (delayed reconstruction group) and grip strength were compared between the two groups of patients before and after the operation, wrist pain assessment, hand function subjective (arm shoulder disability questionnaire table dash) and objective evaluation (patient self-assessment wrist joint function assessment scale, PRWE). Results The grip strength in group A was significantly higher than in group B (P<0.05), but VAS score, DASH and PRWE scores were significantly lower than in group B (P<0.05) at last follow-up after surgery. Conclusion Early treatment of bone wedge can improve the functional outcomes of scaphoid fractures nonunion.%目的：探讨楔形植骨治疗对舟状骨骨折不愈合的临床预后的影响。方法对我院行掌楔移植和螺钉固定治疗腕舟骨延迟愈合和不愈合的患者进行了回顾性调查，将筛选患者分成 A 组（早期重建组）和 B组（延迟重建组），比较两组患者手术前后握力，手腕疼痛评估，手功能主观（手臂肩残疾问卷表，DASH）和客观评定（患者自评腕关节功能评估量表，PRWE）。结果术后末次随访时，A 组患者握力高于 B 组（P ＜0.05），其 VAS 评分、DASH 和 PRWE 评分低于 B 组（P＜0.05）。结论早期楔形植骨治疗可改善舟骨不愈合的功能预后。
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