• J Hand Surg Eur Vol · Apr 2006

    Scaphoid non-union: the role of vascularized grafting in recalcitrant non-unions of the scaphoid.

    • A D Tambe, L Cutler, J Stilwell, S R Murali, I A Trail, and J K Stanley.
    • Wrightington Hospital, Wrightington, Wigan & Leigh NHS Trust, UK. anant_tambe@yahoo.com
    • J Hand Surg Eur Vol. 2006 Apr 1;31(2):185-90.

    AbstractAchieving union using conventional grafts has a high chance of failure in patients with recalcitrant non-union (persistent pseudarthrosis) of the scaphoid bone, an avascular proximal fragment and previous failed surgeries because of poor host bed vascularity. Eleven patients with long-standing non-union were treated with vascularized pedicle bone grafting and supplementary corticocancellous grafting. Five had screw fixation and six were fixed with K-wires. The average age of the patients was 28 years, average duration of the non-union was 39 months and mean radiological follow-up was 32 months. There were no significant skeletal complications, although two patients developed neuromata. At review, only six of the 11 non-unions were united. Whilst this is a difficult clinical problem and achieving union is a formidable challenge, we believe that there is a role for such extensive surgery in order to achieve good postoperative function.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        

    hide…

What will the 'Medical Journal of You' look like?

Start your free 21 day trial now.

We guarantee your privacy. Your email address will not be shared.