Scaphoid Nonunions: Local Vascularized Bone Flaps.

Humans Fractures, Ununited / surgery Scaphoid Bone / surgery Surgical Flaps / transplantation Upper Extremity Bone Transplantation / methods
Local vascularized bone flaps Scaphoid nonunion Vascularized bone graft/Flap

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: 20 11 2023
pubmed: 19 11 2023
entrez: 18 11 2023
Statut: ppublish

Résumé

If untreated, scaphoid nonunions may progress to scaphoid nonunion advanced collapse in a substantial portion of cases and may require salvage procedures. Multiple different techniques have been described to address scaphoid nonunion. Vascularized bone flaps (VBFs) are associated with faster time to union compared with nonvascularized grafts. Because these are local pedicled flaps, they do not require microsurgical anastomoses and should be within the armamentarium of all hand surgeons. Appropriately chosen local VBFs, can achieve union rates up to 90% to 100% in appropriately selected patients.

Identifiants

DOI: 10.1016/j.hcl.2023.08.004 PMID: 37979983
pubmed: 37979983
pii: S0749-0712(23)00068-9
doi: 10.1016/j.hcl.2023.08.004
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

117-127

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosures K.R. Eberlin-consultant for AxoGen, Integra, Checkpoint.

Auteurs

Justin C McCarty (JC)

Division of Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Ryoko Hamaguchi (R)

Division of Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Kyle R Eberlin (KR)

Division of Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. Electronic address: keberlin@mgh.harvard.edu.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Scaphoid Nonunions: Local Vascularized Bone Flaps.
questionsmedicales.fr › Plaies et blessures › Fractures osseuses › Fractures non consolidées › Scaphoid Nonunions: Local Vascularized Bone Flaps.
questionsmedicales.fr › Appareil locomoteur › Squelette › Os du membre supérieur › Os de la main › Os du carpe › Os scaphoïde › Scaphoid Nonunions: Local Vascularized Bone Flaps.
questionsmedicales.fr › Équipement et fournitures › Reconstructions chirurgicales › Lambeaux chirurgicaux › Scaphoid Nonunions: Local Vascularized Bone Flaps.
questionsmedicales.fr › Régions du corps › Membres › Membre supérieur › Scaphoid Nonunions: Local Vascularized Bone Flaps.
questionsmedicales.fr › Procédures de chirurgie opératoire › Transplantation › Transplantation de tissu › Transplantation osseuse › Scaphoid Nonunions: Local Vascularized Bone Flaps.