Clinical and radiological results of the vascularized medial femoral condyle graft for scaphoid non-union

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Treatment of scaphoid waist nonunions with an avascular proximal pole and carpal collapse. Surgical technique.

BACKGROUND Surgically, it is difficult to achieve union of a scaphoid nonunion that is associated with osteonecrosis of the proximal pole, and those with carpal collapse are especially difficult to treat. A variety of vascularized bone grafts can be used. The purpose of this study was to compare the effectiveness of two types of vascularized bone graft -- a distal radial pedicle graft and a fre...

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Vascularized bone graft for scaphoid nonunion.

The management of recalcitrant nonunion of the scaphoid can be frustrating. Recent understanding of the vascular anatomy of the distal radius has helped in the management of these problems. Vascularized bone grafting for scaphoid nonunion has improved the union rates. Consequently, familiarity with this procedure is an important tool for any surgeon who treats scaphoid nonunion. Although there ...

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Medial Femoral Condyle Flap

Supplemental Digital Content is available in the text.

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PAUWELS\' OSTEOTOMY FOR FEMORAL NECK NON-:union:

During a period of nine years (1982-1991), Pauwels' osteotomy was performed for 38 cases of femoral neck non-:::union:::. 32 led to consolidation with one osteotomy (84%) and 6 failed (3 needed revision (92%), one died and two were lost to follow-up). The length of follow-up was 2-11 years, the average time of non-:::union::: 12 months (ranging from 4 months to 13 years) and the mean patien...

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Vascularized periosteal transfer from the medial femoral condyle: is it compulsory to include the cortical bone?

BACKGROUND The corticoperiosteal flap from the medial femoral condyle has become the workhorse in the management of recalcitrant nonunions with vascularized periosteum. Inclusion of the outer condylar cortex has been advocated to avoid damaging the osteogenic capacity of the periosteum and is at present an ordinary technical step in the procedure. PATIENTS A clinical prospective study was und...

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ژورنال

عنوان ژورنال: Archives of Orthopaedic and Trauma Surgery

سال: 2020

ISSN: 0936-8051,1434-3916

DOI: 10.1007/s00402-020-03386-7