Scaphoid nonunion with avascular necrosis of the proximal pole: Treatment with a vascularized bone graft from the dorsum of the distal radius

M. I. Boyer, H. P. von Schroeder, T. S. Axelrod

Research output: Contribution to journalArticle

124 Scopus citations

Abstract

Scaphoid nonunion with avascular necrosis of the proximal pole remains a difficult problem. We have endeavoured to heal the fracture, restore scaphoid height and revascularize the proximal pole of the scaphoid by means of a vascularized dorsal interposition graft from the distal radius. The procedure has resulted in union of six of ten fractures. Fractures that healed had not been treated by a previous bone grafting procedure. Dissatisfaction was due to loss of motion in patients who had healed fractures, and pain in those patients with persistent non-unions.

Original languageEnglish
Pages (from-to)686-690
Number of pages5
JournalJournal of Hand Surgery: European Volume
Volume23
Issue number5
DOIs
StatePublished - Dec 1 1998
Externally publishedYes

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