Proximal Pole Scaphoid Nonunion: Capsular-Based Vascularized Distal Radius Graft
Wrist and Elbow Arthroscopy with Selected Open Procedures: A Practical Surgical Guide to Techniques, Third Edition, Page: 561-566
2021
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Book Chapter Description
Treatment of proximal pole scaphoid nonunion with avascular necrosis represents a reconstructive challenge. Several bone grafting techniques have been described for the management of scaphoid proximal pole nonunion. Studies have demonstrated that vascularized bone grafts have more favorable outcome and higher union rate than the conventional bone grafts. The dorsal capsular-based vascularized distal radius graft is a reliable alternative technique for proximal pole scaphoid nonunion providing successful clinical outcomes with regard to both union rate and postoperative wrist range of motion. This graft is nourished by the fourth extensor compartmental artery. It is harvested from a position that allows easy access to the proximal scaphoid pole with a short arc of rotation minimizing the risk of nutrient vessel kinking. The dorsal capsular-based vascularized distal radius graft is a simple technique that eliminates the need for dissection of small caliber pedicle or microsurgical anastomoses.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85173365174&origin=inward; http://dx.doi.org/10.1007/978-3-030-78881-0_45; https://link.springer.com/10.1007/978-3-030-78881-0_45; https://link.springer.com/content/pdf/10.1007/978-3-030-78881-0_45; https://dx.doi.org/10.1007/978-3-030-78881-0_45; https://link.springer.com/chapter/10.1007/978-3-030-78881-0_45
Springer Science and Business Media LLC
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