scholarly journals Pseudarthrosis of the Carpal Scaphoid Treated with Non-Vascularized Corticocancellous Bone Graft

2018 ◽  
Vol 24 (2) ◽  
Author(s):  
Omar Mourafiq ◽  
Valery Kamenan ◽  
Youssef Benyias ◽  
Jalal Boukhriss ◽  
Bouchaib Chefry ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Bone Graft ◽  
Poor Prognosis ◽  
Orthopaedic Surgery ◽  
Plaster Cast ◽  
Military Hospital ◽  
Vascularized Bone Graft ◽  
Non Union ◽  
Scaphoid Fractures ◽  
Vascularized Bone

Objectives: To carry out an epidemiological study and to assess the evolutionary profile of patients with scaphoid non-union treated by anterior non-vascularized corticocancellous bone graft. Introduction: The non-union is a serious complication of carpal scaphoid fractures. Untreated, it leads to instability and osteoarthritis of the carp. The most used technique is that of Matti-Russe employing a corticocancellous graft. Materials and methods: We report in this retrospective study the experience of the department of Orthopaedic Surgery & Traumatology II, Mohamed V Military Hospital, Rabat, in the treatment of non-unions of the carpal scaphoid by anterior non-vascularized corticocancellous graft in nine cases collected between January 2012 and March 2016. We identified six cases of stage IIA and three cases of stage IIB. All our patients were operated by the Matti-Russian technique followed by an immobilization by plaster cast cuff on three months. Results: All our patients achieved a union within an average of three months. The Mayo Wrist score was excellent in 66.6% of cases. Our results were very satisfying in 90% of cases, satisfying in 10%. Conclusion: The treatment of non-unions of the carpal scaphoid without necrosis or osteoarthritis, using anterior non-vascularized bone graft remains the most widely used technique. The presence of initial instability is a factor of poor prognosis, its correction reduces the risk of arthritis.

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.

scholarly journals Vascularized bone graft in Herbert type D scaphoid fractures

2019 ◽  
Vol 5 (2.3) ◽  
pp. 241-243
Author(s):  
Dr. Varun Goel ◽  
Dr. Neha Bhardwaj ◽  
Dr. Jay Dhariwal ◽  
Dr. Surinder Jaiswal ◽  
Dr. Darshan MS
Keyword(s):  
Bone Graft ◽  
Vascularized Bone Graft ◽  
Scaphoid Fractures ◽  
Type D ◽  
Vascularized Bone

scholarly journals Scaphoid Non-Union Treated by Zaidemberg’s Vascularized Bone Graft: About 30 Cases

2016 ◽  
Vol 1 (1) ◽  
pp. 018-023 ◽  
Author(s):  
M Ali Sbai ◽  
M El M chirgui ◽  
R Maalla ◽  
A Khorbi
Keyword(s):  
Bone Graft ◽  
Vascularized Bone Graft ◽  
Non Union ◽  
Vascularized Bone

Scaphoid fracture non-union: a systematic review of surgical treatment using bone graft

2015 ◽  
Vol 41 (5) ◽  
pp. 492-500 ◽  
Author(s):  
D. O. Ferguson ◽  
V. Shanbhag ◽  
H. Hedley ◽  
I. Reichert ◽  
S. Lipscombe ◽  
...  
Keyword(s):  
Systematic Review ◽  
Bone Graft ◽  
Study Design ◽  
Scaphoid Fracture ◽  
Vascularized Bone Graft ◽  
Level Of Evidence ◽  
Data Set ◽  
Non Union ◽  
Quality And Outcomes ◽  
Vascularized Bone

This systematic review assesses the quality and outcomes of published articles concerning bone graft surgery for scaphoid fracture non-union. Searches of the CENTRAL, MEDLINE, EMBASE, CINAHL and AMED databases captured 2710 articles. Each article was screened and 144 met our inclusion criteria. Data regarding source, study design, population, intervention, comparator and outcomes were extracted. There were 5464 scaphoid non-union outcomes within the 144 studies. Mean reported union rates for vascularized and non-vascularized bone graft were 84% and 80%, respectively. Avascular necrosis was diagnosed in several ways and, when present, the vascularized bone graft union rate was 74% compared with 62% with non-vascularized bone graft. Reported union rates vary considerably. These differences may be due to patient factors, fracture factors, treatment factors or study design failures or bias. We recommend that future researchers take into account the deficiencies of previous studies and use the suggested minimum data set in future studies. Level of evidence: II

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.

scholarly journals Pronator quadratus pedicled bone graft for scaphoid non-unions

2020 ◽  
Vol 7 (10) ◽  
pp. 3414
Author(s):  
Harsha Vardhan ◽  
Anto Francis
Keyword(s):  
Bone Graft ◽  
Fracture Healing ◽  
Scaphoid Fracture ◽  
Fracture Site ◽  
Vascularized Bone Graft ◽  
Proximal Pole ◽  
Pronator Quadratus ◽  
Scaphoid Fractures ◽  
Fracture Nonunion ◽  
Vascularized Bone

Scaphoid fractures frequently present with nonunion and proximal pole necrosis, the treatment of which is bone grafting. Pronator quadratus pedicled vascularized bone graft is an option especially in the setting of proximal pole necrosis. We describe our experience of managing such scaphoid non-unions using pronator quadratus pedicled vascularized bone graft. Six patients were managed using pronator quadratus pedicled vascularized bone graft following scaphoid fracture nonunion with proximal pole necrosis. All patients had good fracture healing and symptom resolution. Mild deficit in wrist extension was noted in all patients. Pronator quadratus pedicled vascularized bone graft is an attractive option for managing scaphoid nonunion. Lying adjacent to the fracture site, bone can be harvested and transferred without making any other incisions. This procedure introduces another source of blood supply to the fracture site and hence improves fracture healing.

Treatment of Persistent Non-Union of the Humerus Using a Vascularized Bone Graft from the Supracondylar Region of the Femur

2007 ◽  
Vol 23 (2) ◽  
pp. 107-113 ◽  
Author(s):  
Hiroshi Yajima ◽  
Naoki Maegawa ◽  
Hiroyoshi Ota ◽  
Osamu Kisanuki ◽  
Kenji Kawate ◽  
...  
Keyword(s):  
Bone Graft ◽  
Vascularized Bone Graft ◽  
Non Union ◽  
Vascularized Bone
Sign in / Sign up

Export Citation Format

Share Document