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
2018 ◽  
Vol 24 (2) ◽  
Author(s):  
Omar Mourafiq ◽  
Valery Kamenan ◽  
Youssef Benyias ◽  
Jalal Boukhriss ◽  
Bouchaib Chefry ◽  
...  

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.


2020 ◽  
Vol 7 (10) ◽  
pp. 3414
Author(s):  
Harsha Vardhan ◽  
Anto Francis

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.


2005 ◽  
Vol 40 (4) ◽  
pp. 471 ◽  
Author(s):  
Jun Young Lee ◽  
Hong Moon Sohn ◽  
Jae Won You ◽  
Dong Hui Kim ◽  
Deog Yong Kim

2014 ◽  
Vol 30 (S 01) ◽  
Author(s):  
Luciano Torres ◽  
Fernanda Bogdanovics ◽  
Paganotti Guilherme ◽  
Pelosini Gaiarsa ◽  
José Queiroz ◽  
...  

2007 ◽  
Vol 18 (5) ◽  
pp. 1133-1137 ◽  
Author(s):  
Katsuhiko Kashiwa ◽  
Seiichiro Kobayashi ◽  
Hiroaki Kimura ◽  
Takayuki Honda ◽  
Takaya Nohara ◽  
...  

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