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

Correction of Dorsi-Flexed Intercalated Segment Instability after Restoration of Scaphoid Height in a Cadaver Model of Scaphoid Non-Union

1995 ◽  
Vol 20 (5) ◽  
pp. 596-602 ◽  
Author(s):  
M. YASUDA ◽  
M. KUSUNOKI ◽  
K. KAZUKI ◽  
Y. YAMANO
Keyword(s):  
Mechanical Loading ◽  
Bone Defect ◽  
Carpal Instability ◽  
Rigid Fixation ◽  
Anatomical Reduction ◽  
Non Union ◽  
Herbert Screw ◽  
Palmar Approach ◽  
Wrist Joints

Models of scaphoid non-union with static dorsi-flexed intercalated segment instability were produced in five frozen arms from cadavers or subjects following accidents by repetitive mechanical loading of the wrist joints longitudinally after a bone defect has been made at the mid-portion of the scaphoid. We designed four models of reduction: anatomical reduction; reduction with a shortened scaphoid; anatomical reduction but with the radio-lunate ligament sectioned, and a shortened scaphoid with the radio-lunate ligament sectioned. Results suggested that anatomical reduction with rigid fixation with a Herbert screw was most effective for correction of malalignment with DISI. Preservation of the radio-lunate ligament during the palmar approach to the scaphoid seemed to be important to prevent ligamentous carpal instability.

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.

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.

Scaphoid Non-union with Humpback Deformity Treated without Structural Bone Graft

2012 ◽  
Vol 37 (8) ◽  
pp. 26
Author(s):  
Mark S. Cohen ◽  
Kianoosh Fallahi ◽  
Sanjai K. Shukla
Keyword(s):  
Bone Graft ◽  
Non Union ◽  
Structural Bone Graft

Vascularized Bone Graft Pedicled on the Volar Carpal Artery for Non-Union of the Scaphoid.

1987 ◽  
Vol 12 (2) ◽  
pp. 203-210
Author(s):  
J. N. KUHLMANN ◽  
M. MIMOUN ◽  
A. BOABIGHI ◽  
S. BAUX
Keyword(s):  
Bone Graft ◽  
Medial Part ◽  
Vascularized Bone Graft ◽  
Non Union ◽  
Vascularized Bone

A bone graft, taken from the medial part of the radial epiphysis can be pedicled on the radial branch of the volar carpal arch, freed back to its origin. The graft can be transferred into the proximal row of the carpus to fill up a loss of bony substance or to provide vascularised bone. This permits the treatment of chronic pseud-arthrosis of the scaphoid where a Matti-Russe operation has failed. In the first three cases operated upon, favourable results have been obtained.

A Comparison of the Use of Distal Radius Vascularised Bone Graft and Non-Vascularised Iliac Crest Bone Graft in the Treatment of Non-Union of Scaphoid Fractures

2008 ◽  
Vol 33 (5) ◽  
pp. 636-640 ◽  
Author(s):  
J. BRAGA-SILVA ◽  
F. M. PERUCHI ◽  
G. M. MOSCHEN ◽  
D. GEHLEN ◽  
A. V. PADOIN
Keyword(s):  
Bone Graft ◽  
Distal Radius ◽  
Iliac Crest ◽  
Surgical Techniques ◽  
Functional Results ◽  
Iliac Crest Bone Graft ◽  
Radiographic Findings ◽  
Non Union ◽  
Vascularised Bone Graft ◽  
Mean Time

We compared two surgical techniques for the treatment of scaphoid non-union, namely, using distal radius vascularised bone graft and iliac crest non-vascularised bone graft. Eighty patients with symptomatic scaphoid non-union underwent surgical treatment, including 35 patients treated with distal radius vascularised bone graft and 45 treated by iliac crest non-vascularised bone graft. Patients were assessed objectively by examination of wrist range of motion, grip strength and radiographic findings in the postoperative period after a mean time of 2.8 (1.4) (range 1–5.2) years. Similar functional results were obtained with the two techniques. All cases of non-union in the non-vascularised group obtained consolidation in a mean time of 8.89 (2.26) months and in the vascularised group in a mean time of 7.97 (3.06) months. Three cases of consolidation failure occurred in the vascularised group and were related to technical difficulties.

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