A-009918.3 A new capsular based vascularised distal radius graft for proximal pole scaphoid pseudarthrosis

2007 ◽  
Vol 32 ◽  
pp. 75-75
Author(s):  
N DARLIS
Keyword(s):  
Distal Radius ◽  
Proximal Pole ◽  
Scaphoid Pseudarthrosis

A Capsular-Based Vascularized Distal Radius Graft for Proximal Pole Scaphoid Pseudarthrosis

2006 ◽  
Vol 31 (4) ◽  
pp. 580-587 ◽  
Author(s):  
Dean G. Sotereanos ◽  
Nickolaos A. Darlis ◽  
Zoe H. Dailiana ◽  
Ioannis K. Sarris ◽  
Konstantinos N. Malizos
Keyword(s):  
Distal Radius ◽  
Proximal Pole ◽  
Scaphoid Pseudarthrosis

Osteitis in the Course of Pyodema Gangrenosum. Case Raport

2016 ◽  
Vol 18 (6) ◽  
pp. 611-619 ◽  
Author(s):  
Andrzej Kaźmierczak-Koćwin ◽  
Robert Pieczyrak ◽  
Damian Kusz ◽  
Eugeniusz Kucharz ◽  
Marcin Kusz
Keyword(s):  
Surgical Treatment ◽  
Bone Graft ◽  
Distal Radius ◽  
Wrist Joint ◽  
Proximal Pole ◽  
Scaphoid Pseudarthrosis

We present a possible option for surgical treatment of proximal pole scaphoid pseudarthrosis. We used a vascularized distal radius bone graft that was pedicled on the dorsal capsule of the wrist joint. The publication consists of a case study, conclusions, indications and contraindications for the surgery.

A Capsular-based Vascularized Distal Radius Graft in Treatment of Proximal Pole Scaphoid Pseudoarthrosis. Case Study

2016 ◽  
Vol 18 (6) ◽  
pp. 599-610
Author(s):  
Wojciech Sroga ◽  
Rosa Ana Perez Giner
Keyword(s):  
Surgical Treatment ◽  
Bone Graft ◽  
Distal Radius ◽  
Wrist Joint ◽  
Proximal Pole ◽  
Scaphoid Pseudarthrosis

We present a possible option for surgical treatment of proximal pole scaphoid pseudarthrosis. We used a vascularized distal radius bone graft that was pedicled on the dorsal capsule of the wrist joint. The publication consists of a case study, conclusions, indications and contraindications for the surgery.

scholarly journals The Outcome of Using a Jamshidi Biopsy Trocar Needle in a Novel Technique for Bone Grafting in Percutaneous Internal Fixation of Scaphoid Non-Union

2018 ◽  
Vol 6 (3) ◽  
pp. 506-510
Author(s):  
Syed Bokhari ◽  
Saifullah Hadi ◽  
Fahad Hossain ◽  
Bernd Ketzer
Keyword(s):  
Internal Fixation ◽  
Distal Radius ◽  
Bone Grafting ◽  
Proximal Pole ◽  
Union Rate ◽  
Non Union ◽  
Novel Technique ◽  
Grafting Technique ◽  
Percutaneous Internal Fixation ◽  
Time From Injury

INTRODUCTION: We report the outcome of using a novel technique of minimally invasive internal fixation and distal radius bone grafting using the Jamishidi Trephine needle and biopsy/graft capture device.METHODS: The technique utilises a 8 mm incision at the distal pole of the scaphoid. The non-union is excavated using the standard Acutrak drill. An 8 gauge Jamshidi trephine needle is used to harvest bone graft from the distal radius which is impacted into the scaphoid and fixed with an Acutrak screw. Fifteen patients were available for retrospective review, 14 male, age mean 29.5 (15-56). Average time from injury to surgery was 167 days (45-72). Fractures classified according to Herbert giving 7 D1 and 8 D2 fractures, 14 waist and 1 proximal pole fractures, all of which had no humpback deformity.RESULTS: Sixty-six percentages of the fractures went onto unite, 4/7 D1 and 6/8 D2 united (p > 0.05). Seventy-five percentages of fracture that had surgery in less than 3 months from time of injury went onto unite, whereas only 63% united in patients who had surgery later than 3 months (p > 0.05). DASH outcome for all patients improved from 86 down to 32 (p < 0.05). With those that united going down from 90 to 6. Those that did not unite went from 81 to 61.CONCLUSION: The Jamshidi bone grafting technique shows comparable results (union rate 66%) to other techniques published in the literature (27-100%) providing the surgeon with an alternative and less demanding procedure than open scaphoid non-union surgery.

Dorsal capsular-based vascularized distal radius graft for proximal pole scaphoid nonunion with avascular necrosis

Injury ◽  
2021 ◽  
Author(s):  
Loukia K. Papatheodorou ◽  
Dimitrios V. Papadopoulos ◽  
Micaela M. Graber ◽  
Dean G. Sotereanos
Keyword(s):  
Avascular Necrosis ◽  
Distal Radius ◽  
Scaphoid Nonunion ◽  
Proximal Pole

Primary Vascularized Distal Radius Bone Graft for Nonunion of the Scaphoid

2000 ◽  
Vol 25 (3) ◽  
pp. 266-270 ◽  
Author(s):  
C. UERPAIROJKIT ◽  
S. LEECHAVENGVONGS ◽  
K. WITOONCHART
Keyword(s):  
Bone Graft ◽  
Avascular Necrosis ◽  
Distal Radius ◽  
Pinch Strength ◽  
Type I ◽  
Vascularized Bone Graft ◽  
Proximal Pole ◽  
The Mean ◽  
Mean Time ◽  
Vascularized Bone

A vascularized bone graft from the dorsoradial aspect of the distal radius was used with internal fixation to treat nonunion of the scaphoid in ten patients who had not received any previous surgical treatment. Five cases were classified as Lichtman type I and five as type II. The average age was 30 years (range, 18–40 years). Associated avascular necrosis was observed in five cases. Post-operatively pain was relieved and union was achieved in all cases. The mean time to union was 6.5 weeks. Range of motion, grip strength and pinch strength were also restored satisfactorily. These results suggest that this vascularized bone graft should be used as the primary procedure in Lichtman type I and II of scaphoid nonunions, regardless of the presence of avascular necrosis of the proximal pole.

scholarly journals Micro Screw Fixation for Small Proximal Pole Scaphoid Fractures with Distal Radius Bone Graft

2018 ◽  
Vol 07 (04) ◽  
pp. 319-323 ◽  
Author(s):  
Joseph Schreiber ◽  
Lana Kang ◽  
Krystle Hearns ◽  
Tracy Pickar ◽  
Michelle Carlson
Keyword(s):  
Bone Graft ◽  
Distal Radius ◽  
Fragment Size ◽  
Case Series ◽  
Small Diameter ◽  
Proximal Pole ◽  
Compression Screw ◽  
Level Of Evidence ◽  
Scaphoid Fractures ◽  
Flexion Extension

Background Achieving adequate fixation and healing of small proximal pole acute scaphoid fractures can be surgically challenging due to both fragment size and tenuous vascularity. Purpose The purpose of this study was to demonstrate that this injury can be managed successfully with osteosynthesis using a “micro” small diameter compression screw with distal radius bone graft with leading and trailing screw threads less than 2.8 mm. Patients and Methods Patients with proximal pole scaphoid fragments comprising less than 20% of the entire scaphoid were included. Fixation was accomplished from a dorsal approach with a micro headless compression screw and distal radius bone graft. Six patients were included. Average follow-up was 44 months (range, 11–92). Results Mean proximal pole fragment size was 14% (range, 9–18%) of the entire scaphoid. The mean immobilization time was 6 weeks, time-to-union of 6 weeks, and final flexion/extension arc of 88°/87°. All patients had a successful union, and no patient had deterioration in range of motion, avascular necrosis, or fragmentation of the proximal pole. Conclusion Small diameter screws with a maximal thread diameter of ≤ 2.8 mm can be used to fix the union of proximal pole acute scaphoid fractures comprising less than 20% of the total area with good success. Level of Evidence Therapeutic case series, Level IV.

scholarly journals Metaphyseal Core Decompression and Anterograde Fixation for Scaphoid Proximal Pole Fracture Nonunion without Avascular Necrosis

2019 ◽  
Vol 08 (05) ◽  
pp. 416-422
Author(s):  
Ignacio Rellan ◽  
Gerardo Luis Gallucci ◽  
Jorge Guillermo Boretto ◽  
Agustin Guillermo Donndorff ◽  
Ezequiel Ernesto Zaidenberg ◽  
...  
Keyword(s):  
Avascular Necrosis ◽  
Distal Radius ◽  
Core Decompression ◽  
Functional Results ◽  
Dash Score ◽  
X Rays ◽  
Proximal Pole ◽  
Level Of Evidence ◽  
Reliable Technique ◽  
Pain At Rest

Objective To report the consolidation rate and the results of a series of 22 patients with metaphyseal core decompression of the distal radius and an antegrade compression screw. Methods We present a prospective series of patients with scaphoid proximal pole nonunion in whom the presence of intraoperative bleeding was confirmed in both fragments. Patients with displacement, degenerative changes, fragmentation of the proximal pole, cavitation of the focus, loss of height, and necrosis, as well as those with carpal instability, were excluded. The patients were evaluated with X-rays and computed tomography to evaluate their consolidation; their mobility and fist strength were recorded and an analog visual scale (VAS) of pain at rest, pain in activity, subjective functional status, and DASH questionnaire were completed. Results Of the 23 patients, 21 accomplished union. The average follow-up was 19 months and the average final range of motion was flexion 86%, extension 85%, radial deviation 79%, ulnar deviation 84%, and grip strength 84%. The average VAS for pain at rest was 1 point, the average VAS for activity pain was 2 points, the average VAS for function was 9 points, and the average DASH score was 8. Conclusions Using this simple and reliable technique, we obtained 91% union and very good functional results. Metaphyseal core decompression of the distal radius associated with an antegrade scaphoid screw is a reasonable and effective option for the treatment of proximal pole scaphoid nonunions without avascular necrosis in carefully selected patients. Level of Evidence This is Level IV study.

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