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Single vs double headless compression screw fixation for scaphoid nonunion
Suhaib Bani Essa, Yazan Anaqreh, Husam Matalqah, Abdulghfar Sammani, Mahmoud Abokhsab, Nizar Abu-Amoud, Yman Aldweik, Mutaz Abu-Eid, Ahmad Radaideh, Division of Orthopedic, Department of Special Surgery, Jordan University of Science and Technology, Irbid 22110, Jordan
Mohammad Zubi, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan
Naser Obeidat, Department of Diagnostic Radiology and Nuclear Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan
Author contributions: Bani Essa S and Anaqreh Y designed the research study, performed the statistical analysis, and wrote the original draft; Bani Essa S, Anaqreh Y, Matalqah H, Sammani A, Abokhsab M, Zubi M, Abu-Amoud N, Aldweik Y, Abu-Eid M, and Radaideh A acquired and curated the data; Bani Essa S, Anaqreh Y, and Obeidat N supervised the study; and all authors reviewed and edited the manuscript, interpreted the data, and approved the final version.
AI contribution statement: Grammarly was used for grammar checking and language refinement during manuscript preparation. No AI tools were used for content generation, data analysis, interpretation, or any scientific or intellectual aspects of the study.
Institutional review board statement: The study was approved by the Institutional Review Board of King Abdullah University Hospital.
Informed consent statement: Patients were not required to give informed consent to the study as the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: Data are available from the corresponding author upon reasonable request. The data are not publicly available due to patient confidentiality and institutional data protection policies.
Corresponding author: Suhaib Bani Essa, MD, Assistant Professor, Division of Orthopedic, Department of Special Surgery, Jordan University of Science and Technology, Arramtha 3030, Irbid 22110, Jordan. smbaniessa@just.edu.jo
Received: June 8, 2026
Revised: July 21, 2026
Accepted: August 17, 2026
Published online: September 18, 2026
Processing time: 96 Days and 22.3 Hours
Revised: July 21, 2026
Accepted: August 17, 2026
Published online: September 18, 2026
Processing time: 96 Days and 22.3 Hours
Core Tip
Core Tip: This retrospective cohort study of 23 patients with scaphoid waist nonunion found that double headless compression screw fixation yielded significantly better Disabilities of the Arm, Shoulder and Hand scores than single-screw fixation, despite comparable time to union and radiographic correction. These findings suggest dual-screw constructs may offer a functional advantage during rehabilitation, independent of anatomical restoration.