Traditional Bone Grafting in Scaphoid Nonunion.


Journal

Hand clinics
ISSN: 1558-1969
Titre abrégé: Hand Clin
Pays: United States
ID NLM: 8510415

Informations de publication

Date de publication:
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

105-116

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure The authors have no relevant disclosures to report.

Auteurs

Erin A Miller (EA)

Department of Surgery, Division of Plastic Surgery, University of Washington Medical Center, 325 9th Avenue, Seattle, WA 98013, USA. Electronic address: erinmill@uw.edu.

Jerry I Huang (JI)

Department of Orthopaedics and Sports Medicine, University of Washington Medical Center, 4245 Roosevelt Way Northeast, Seattle, WA 98105, USA.

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Classifications MeSH