Traditional Bone Grafting in Scaphoid Nonunion.
Bone grafting
Delayed union
Proximal pole avascular necrosis
Scaphoid nonunion
Scaphoid revision
Journal
Hand clinics
ISSN: 1558-1969
Titre abrégé: Hand Clin
Pays: United States
ID NLM: 8510415
Informations de publication
Date de publication:
Feb 2024
Feb 2024
Historique:
medline:
27
11
2023
pubmed:
19
11
2023
entrez:
18
11
2023
Statut:
ppublish
Résumé
Management of scaphoid nonunion remains challenging despite modern fixation techniques. Nonvascularized bone graft may be used to achieve union in waist and proximal pole fractures with good success rates. Technical aspects, such as adequate debridement and restoration of scaphoid length, and stable fixation are critical in achieving union and functional wrist usage. Rigid fixation can be achieved with compression screws, K-wires, and plate constructs. The surgeon has a choice of various bone graft options including corticocancellous, cancellous, and strut grafts to promote healing and correct the humpback deformity.
Identifiants
pubmed: 37979982
pii: S0749-0712(23)00065-3
doi: 10.1016/j.hcl.2023.08.001
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
105-116Informations de copyright
Copyright © 2023 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure The authors have no relevant disclosures to report.