Vascularized Bone Graft from the Palmar Carpal Artery for Treatment of Scaphoid Nonunion

1998 ◽  
Vol 23 (3) ◽  
pp. 318-323 ◽  
Author(s):  
C. MATHOULIN ◽  
M. HAERLE

We report the use of a bone graft harvested from the palmar and ulnar aspect of the distal radius and vascularized by the palmar carpal artery for the treatment of scaphoid nonunion in 17 patients, ten of whom had already had unsuccessful surgery. Union was obtained in all cases at an average of 60 days (range, 45–90 days). The average follow-up was 16 months (range, 12–36 months). There were no failures.

2002 ◽  
Vol 27 (5) ◽  
pp. 413-416 ◽  
Author(s):  
R. G. STRAW ◽  
T. R. C. DAVIS ◽  
J. J. DIAS

Pedicled vascularized bone grafts (Zaidemberg’s technique) were used to treat 22 established scaphoid fracture nonunions, 16 of which were found to have avascular proximal poles at surgery. After a follow-up of 1–3 years, only six (27%) of the 22 fracture nonunions had united. Only two of the 16 nonunions with avascular proximal poles united, compared with four of the six nonunions with vascular proximal poles. We conclude that this technique of pedicled vascularized bone grafting may not improve the union rate for scaphoid fracture nonunions with avascular proximal pole fragments.


2001 ◽  
Vol 72 (4) ◽  
pp. 359-364 ◽  
Author(s):  
Yuan-Kun Tu ◽  
Cheng-Yo Yen ◽  
Wen-Lin Yeh ◽  
I-Chun Wang ◽  
Kun-Chang Wang ◽  
...  

2011 ◽  
Vol 16 (6) ◽  
pp. 749-755 ◽  
Author(s):  
Hiroyuki Matsuki ◽  
Shigeharu Uchiyama ◽  
Hiroyuki Kato ◽  
Junichi Ishikawa ◽  
Norimasa Iwasaki ◽  
...  

Hand ◽  
2015 ◽  
Vol 10 (3) ◽  
pp. 454-460
Author(s):  
Sérgio Augusto Machado Da Gama ◽  
Marcelo Rosa De Rezende ◽  
Samuel Ribak

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