Publication Name	World Journal of Orthopedics
Manuscript ID	112889
Country	Egypt

Category	Orthopedics
Manuscript Type	Retrospective Study
Article Title	Necessity of grafting in scaphoid nonunion fixation: A comparative outcome analysis
Manuscript Source	Invited Manuscript
All Author List	Amr Elshahhat, Moheib Ahmed, Ahmed Saleh, Yasser Abed, Hany Elashmawy and Khaled Nour
Funding Agency and Grant Number
Corresponding Author	Amr Elshahhat, MD, PhD, Department of Orthopedic Surgery, Mansoura University, Algomhoria Street, Mansoura 33516, Dakahlia, Egypt. amrelshahat@mans.edu.eg
Key Words	Scaphoid nonunion; Graft-less fixation; Vascularized graft; Mini-dorsal wrist approach; Scaphoid union; Wrist capsulotomy
Core Tip	This study compares graft-augmented and graft-less fixation in stable scaphoid nonunions. While grafting significantly shortened healing time, graft-less fixation yielded superior functional outcomes, particularly in grip strength and wrist motion. Subgroup analysis highlights the role of bone loss, nonunion duration, and smoking in guiding treatment choice. These findings support individualized fixation strategies and question the routine necessity of bone grafting in select cases.
Citation	Elshahhat A, Ahmed M, Saleh A, Abed Y, Elashmawy H, Nour K. Necessity of grafting in scaphoid nonunion fixation: A comparative outcome analysis. World J Orthop 2025; In press

Received	2025-08-08 05:53
Peer-Review Started	2025-08-08 05:54
First Decision by Editorial Office Director	2025-09-25 08:24
Return for Revision	2025-09-25 08:24
Revised	2025-09-25 17:07
Publication Fee Transferred
Second Decision by Editor	2025-12-11 02:43
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2025-12-11 11:38
Articles in Press	2025-12-11 11:38
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
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