Technique: vascularized bone grafts from the volar distal radius to treat scaphoid nonunion

2004 ◽  
Vol 4 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Christophe L Mathoulin ◽  
Max Haerle
Keyword(s):  
Distal Radius ◽  
Bone Grafts ◽  
Scaphoid Nonunion ◽  
Vascularized Bone

Vascularized Bone Grafts for Upper Limb Reconstruction: Defects at the Distal Radius, Wrist, and Hand

2010 ◽  
Vol 35 (10) ◽  
pp. 1710-1718 ◽  
Author(s):  
Konstantinos N. Malizos ◽  
Zoe H. Dailiana ◽  
Marco Innocenti ◽  
Cristophe L. Mathoulin ◽  
Rames Mattar ◽  
...  
Keyword(s):  
Distal Radius ◽  
Upper Limb ◽  
Bone Grafts ◽  
Limb Reconstruction ◽  
Upper Limb Reconstruction ◽  
Vascularized Bone

scholarly journals The use of pedicled vascularized bone grafts in the treatment of scaphoid nonunion: clinical results, graft options and indications

2020 ◽  
Vol 5 (1) ◽  
pp. 1-8
Author(s):  
Bedri Karaismailoglu ◽  
Mehmet Fatih Guven ◽  
Mert Erenler ◽  
Huseyin Botanlioglu
Keyword(s):  
Bone Mass ◽  
Bone Remodelling ◽  
Bone Grafts ◽  
Clinical Results ◽  
Scaphoid Nonunion ◽  
Proximal Pole ◽  
Challenging Situation ◽  
Clinical And Radiological Results ◽  
Vascularized Bone

Scaphoid nonunion is a challenging situation for orthopaedic surgeons. Nonunion rate is especially high in proximal pole fractures of the scaphoid due to tenuous retrograde blood supply. The use of pedicled vascularized bone grafts for the treatment of scaphoid nonunion provides both good clinical and radiological outcomes. The preserved vascularity of the graft leads to better bone remodelling, less osteopenia, faster incorporation and better maintenance of bone mass compared to the conventional non-vascularized grafting. Pedicled vascularized bone grafts also allow the correction of the carpal alignment and humpback deformity of the scaphoid. Clinical and radiological results have been satisfactory and promising, making us anticipate that the role of vascularized bone grafting for the treatment of carpal diseases will increase. Cite this article: EFORT Open Rev 2020;5:1-8. DOI: 10.1302/2058-5241.5.190021

Pedicled vascularized bone grafts compared with xenografts in the treatment of scaphoid nonunion

2020 ◽  
Author(s):  
S. Matić ◽  
Č. Vučković ◽  
A. Lešić ◽  
I. Glišović Jovanović ◽  
D. Polojac ◽  
...  
Keyword(s):  
Bone Grafts ◽  
Scaphoid Nonunion ◽  
Vascularized Bone

Bone Grafts for Scaphoid Nonunion: An Overview

Hand Surgery ◽  
2015 ◽  
Vol 20 (02) ◽  
pp. 222-227 ◽  
Author(s):  
Steven E.R. Hovius ◽  
Tim de Jong
Keyword(s):  
Surgical Treatment ◽  
Bone Graft ◽  
Bone Grafts ◽  
Good Position ◽  
Vascularized Bone Graft ◽  
Scaphoid Nonunion ◽  
Non Union ◽  
Non Surgical Treatment ◽  
Vascularized Bone

The scaphoid is the most common fractured bone in the wrist. Despite adequate non-surgical treatment, around 10% to 15% of these fractures will not heal. Untreated scaphoid non-union can cause a scaphoid non-union advance collapse (SNAC), this is a progressive deformity and can cause degenerative changes in the wrist. Surgery is focused on achieving consolidation, pain reduction and a good position of the scaphoid while preventing osteoarthritis in the long-term. Surgery consists of reduction and fixation of the scaphoid with a non-vascularized or vascularized bone graft. An overview of the most used vascularized and non-vascularized bone grafts and their indications are presented.

Management of scaphoid nonunions with vascularized bone grafts from the distal radius: mid- to long-term follow-up

2016 ◽  
Vol 27 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Konstantinos N. Malizos ◽  
Zoe Dailiana ◽  
Sokratis Varitimidis ◽  
Antonios Koutalos
Keyword(s):  
Distal Radius ◽  
Bone Grafts ◽  
Long Term Follow Up ◽  
Vascularized Bone

scholarly journals Scaphoid reconstruction with vascularized bone grafts from the distal radius

2016 ◽  
Vol 01 (01) ◽  
pp. 50-53 ◽  
Author(s):  
Konstantinos Malizos ◽  
Zoe Dailiana ◽  
Sokratis Varitimidis ◽  
Loukia Papatheodorou
Keyword(s):  
Distal Radius ◽  
Bone Grafts ◽  
Scaphoid Reconstruction ◽  
Vascularized Bone

Vascular Anatomy of the Palmar Surfaces of the Distal Radius And Ulna: Its Relevance to Pedicled Bone Grafts at the Distal Palmar Forearm

2003 ◽  
Vol 28 (2) ◽  
pp. 131-136 ◽  
Author(s):  
M. HAERLE ◽  
H. E. SCHALLER ◽  
C. MATHOULIN
Keyword(s):  
Distal Radius ◽  
Vascular Anatomy ◽  
Bone Grafts ◽  
Retrograde Flow ◽  
Radial Part ◽  
Anterior Branch ◽  
Palmar Surface ◽  
Anterior Interosseous Artery ◽  
Interosseous Artery ◽  
Vascularized Bone

The potential for harvesting vascularized bone grafts from the palmar surface of the distal radius has been studied in 40 arms of fresh cadavers which had previously been injected with coloured latex solution. It was found that vascularized grafts can be pedicled on the radial part of the palmar carpal arterial arch. If a longer pedicle is required, the bone graft can be pedicled on the anterior branch of the anterior interosseous artery with retrograde flow occurring from the palmar carpal arch.

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