Eur J Orthop Surg Tr
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Eur J Orthop Surg Tr · Feb 2019
Treatment for proximal pole scaphoid nonunion with capsular-based vascularized distal radius graft.
We retrospectively reviewed the results of 89 patients with proximal pole scaphoid nonunion, 58 with avascular necrosis, treated with a capsular-based vascularized distal radius graft. ⋯ The capsular-based vascularized bone graft from the distal radius is a reliable alternative technique for scaphoid nonunions. It is a simple and expedient harvesting technique without the need for a microsurgical anastomoses. The supplemental fixation with a microsuture anchor eliminates the risk of graft displacement.