Collapsed Scaphoid Non-Union with Dorsal Intercalated Segment Instability and Avascular Necrosis Treated by Vascularised Wedge-Shaped Bone Graft and Fixation

2007 ◽  
Vol 32 (2) ◽  
pp. 148-154 ◽  
Author(s):  
M. HENRY
Keyword(s):  
Bone Graft ◽  
Avascular Necrosis ◽  
Non Union ◽  
Dorsal Intercalated Segment Instability

scholarly journals Avascular necrosis with non-union of the scaphoid managed with a dorsal pedicled vascularised bone graft of the distal radius – a case report

2021 ◽  
Vol 8 (10) ◽  
pp. 3189
Author(s):  
Surya Rao Rao Venkata Mahipathy ◽  
Alagar Raja Durairaj ◽  
Narayanamurthy Sundaramurthy ◽  
Anand P. Jayachandiran ◽  
Suresh Rajendran
Keyword(s):  
Bone Graft ◽  
Avascular Necrosis ◽  
Bone Remodelling ◽  
Bone Grafts ◽  
Vascular Supply ◽  
Favourable Outcome ◽  
Proximal Pole ◽  
Non Union ◽  
Hand Surgeon ◽  
Vascularised Bone Graft

Avascular necrosis (AVN) of the scaphoid is common following proximal pole fractures due to an arduous retrograde arterial vascular supply and it is a challenge to the hand surgeon. The treatment for scaphoid non-union with avascular necrosis is vascularized or non-vascularized bone grafts. Non vascularised bone grafts (NVBGs) can be categorized as autograft or allograft and cancellous or cortical bone grafts. Vascularised bone grafts promote biological healing and revascularizes ischaemic bone and they are free or pedicled grafts. Pedicled vascularised bone grafts maintain the vascular supply of the donor bone graft and this leads to better bone remodelling, less osteopenia, faster incorporation and better maintenance of bone mass compared to the non-vascularised graft with good clinical and radiological outcomes. In this paper, we have treated avascular necrosis of scaphoid with a pedicled vascularised bone graft based on the 1, 2 intercompartmental supraretinacular artery (1, 2-ICSRA) that resulted in a favourable outcome.

Vascularized Second Metacarpal-Base Bone Graft in Scaphoid Non-Union by the Palmar Approach

2003 ◽  
Vol 19 (2) ◽  
pp. 099-106 ◽  
Author(s):  
Takuya Sawaizumi ◽  
Mitsuhiko Nanno ◽  
Hiromoto Ito
Keyword(s):  
Bone Graft ◽  
Non Union ◽  
Palmar Approach

Non-Union of the Scaphoid: Russe Graft vs Herbert Screw

1988 ◽  
Vol 13 (1) ◽  
pp. 83-86
Author(s):  
C. D. WARREN-SMITH ◽  
N. J. BARTON
Keyword(s):  
Bone Graft ◽  
Success Rate ◽  
Screw Fixation ◽  
Range Of Movement ◽  
Non Union ◽  
Herbert Screw ◽  
Results Of Treatment ◽  
And Function

The results of treatment in 50 consecutive patients with established non-union of the scaphoid are presented. All patients were treated under the care of a single consultant, for the same indications. Russe bone graft is compared with wedge bone graft plus Herbert screw fixation, in terms of union and function. Overall, a higher success rate was obtained by wedge graft plus Herbert screw, and a significantly better range of movement. However, Russe bone graft appears equally satisfactory for fibrous non-union.

scholarly journals Outcome of fibular strut graft and two cannulated hip screws in neglected fracture neck of femur in adults - 10 years review

2019 ◽  
Vol 6 (1) ◽  
pp. 25-30
Author(s):  
Rajendra Sanjel Chhetri ◽  
Kishor Prashad Khatri ◽  
Krishna Kharel
Keyword(s):  
Avascular Necrosis ◽  
Delayed Union ◽  
Harris Hip Score ◽  
Outcome Analysis ◽  
Fracture Union ◽  
Neck Of Femur ◽  
Strut Graft ◽  
Non Union ◽  
Fracture Neck Of Femur ◽  
Fibular Strut

Introductions: Avascular necrosis and non-union are common but when the neck of femur fracture in adult is neglected, the chances of complications rises. Among various treatment options, we report the outcome of free fibular strut graft along with two cannulated hip screws in neglected fracture neck of femur. Methods: The outcome analysis of ‘fibular strut graft and two cannulated hip screws’ was conducted in patients with fracture neck of femur who presented at least three weeks after the time of injury, during August 2008 to December 2017, at Lumbini Zonal Hospital and Lumbini Hospital Technical College, Butwal, Nepal. All adult patients aged 18 to 60 years were included. Outcome variables were healing of fracture (union, delayed union, non-union), avascular necrosis and Harris Hip Score (HHS). Results: Out of 20 fractures, 17 (85%) united uneventfully, 2 (10%) had delayed union and 1 (5%) nonunion. We had 3 (15%) avascular necrosis of femoral head. The HHS was excellent in 8 (40%), good in 4 (20%), fair in 6 (30%) and poor in 2 (10%). Conclusions: Fibular Strut graft with two hip screws resulted in fracture union and improved hip functions in patients with neglected fracture of neck of femur.

Non-Union of the Scaphoid: Russe Graft vs Herbert Screw

1993 ◽  
Vol 18 (3) ◽  
pp. 408-409
Author(s):  
C. D. Warren-Smith ◽  
N. J. Barton
Keyword(s):  
Bone Graft ◽  
Success Rate ◽  
Screw Fixation ◽  
Range Of Movement ◽  
Non Union ◽  
Herbert Screw ◽  
Results Of Treatment ◽  
And Function

The results of treatment in 50 consecutive patients with established non-union of the scaphoid are presented. All patients were treated under the care of a single consultant, for the same indications. Russe bone graft is compared with wedge bone graft plus Herbert screw fixation, in terms of union and function. Overall, a higher success rate was obtained by wedge graft plus Herbert screw, and a significantly better range of movement. However, Russe bone graft appears equally satisfactory for fibrous non-union.

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