Vascularized versus non-vascularized bone grafts in the treatment of scaphoid non-union
نویسندگان
چکیده
منابع مشابه
Vascularized bone grafts for the treatment of carpal bone pathology.
Primary bone healing fails to occur in 5-15 % of scaphoid bones that undergo fracture fixation. Untreated, occult fractures result in nonunion up to 12 % of the time. Conventional bone grafting is the accepted management in the treatment algorithm of scaphoid nonunion if the proximal pole is vascularized. Osteonecrosis of the proximal scaphoid pole intuitively suggests a need for transfer of th...
متن کاملVascularized 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 ...
متن کاملThe Rationale for Vascularized Bone Grafts
Bone grafts are commonly used in all specialties of orthopaedic surgery, and an understanding of the principles and techniques of bone grafting is critical to the care of traumatic, developmental, and reconstructive musculoskeletal conditions. While most orthopaedic surgeons are familiar with the utilization of non-vascularized bone graft and bone graft substitutes, the applications of vascular...
متن کاملVascularized bone grafts to the upper extremities
Materials and methods The reconstructed site was the humerus in 15 cases, the radius, the ulna or the wrist joint in 22 cases, carpal or metacarpal bone in 52. The etiologies consisted of three traumatic bone defects, 13 traumatic nonunions of long bone, two osteonecroses of the humeral head, eight osteomyelitis, nine case after resections of bone tumor, two congenital pseudoarthroses of the ul...
متن کاملVascularized bone grafts to the upper extremities.
From 1979 to 1995 in our clinic, vascularized bone grafting was performed in 29 patients with large bone defects, established nonunion, congenital pseudoarthrosis, or avascular necrosis in the upper extremity. Four patients had traumatic bone defects, six had posttraumatic nonunions, two had congenital pseudoarthroses, five had amputations, nine had defects following tumor resection, and three ...
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ژورنال
عنوان ژورنال: Journal of Orthopaedic Surgery
سال: 2017
ISSN: 2309-4990,2309-4990
DOI: 10.1177/2309499016684291