scholarly journals 1,2 Intercompartmental Supraretinacular Artery-Based Vascularized Graft for Scaphoid Nonunion With Avascular Necrosis

Cureus ◽  
2020 ◽  
Author(s):  
Terrence Jose Jerome ◽  
Ramesh Prabu ◽  
Thirumagal Kuppusamy Terrence ◽  
Suresh Bhalaji ◽  
Bhuvaneswari Shanmugasundaram
Keyword(s):  
Avascular Necrosis ◽  
Scaphoid Nonunion ◽  
Vascularized Graft

Factors Affecting the Outcome in 50 Cases of Scaphoid Nonunion Treated with Herbert Screw Fixation

1998 ◽  
Vol 23 (5) ◽  
pp. 680-685 ◽  
Author(s):  
J. SHAH ◽  
W. A. JONES
Keyword(s):  
Avascular Necrosis ◽  
Screw Fixation ◽  
Scaphoid Nonunion ◽  
Success Rates ◽  
Previous Surgery ◽  
Factors Affecting ◽  
Herbert Screw ◽  
Heterogeneous Nature ◽  
History Of

Our experience in the treatment of 50 scaphoid nonunions treated with Herbert screw fixation is reviewed. Success rates fell off as the duration of nonunion before treatment increased. However, this appeared to be related to the increased incidence of avascular necrosis with time rather than simply the factor of time alone. In this series the major adverse determinants for outcome were avascular necrosis and a history of previous surgery for nonunion. Failure to graft in a selected group with an intact cartilaginous envelope or a stable firm fibrous union did not affect results. The heterogeneous nature of any series of scaphoid nonunions is emphasized and the difficulties in comparing results with cohorts unmatched for the various adverse factors discussed is stressed.

Treatment of scaphoid nonunion with 1,2 intercompartmental supraretinacular artery vascularized graft and compression screw fixation

Injury ◽  
2020 ◽  
Author(s):  
Ali Cavit ◽  
Osman Civan ◽  
Sercan Capkin ◽  
Tufan Kaleli ◽  
Haluk Ozcanli ◽  
...  
Keyword(s):  
Screw Fixation ◽  
Scaphoid Nonunion ◽  
Compression Screw ◽  
Vascularized Graft

Dorsal capsular-based vascularized distal radius graft for proximal pole scaphoid nonunion with avascular necrosis

Injury ◽  
2021 ◽  
Author(s):  
Loukia K. Papatheodorou ◽  
Dimitrios V. Papadopoulos ◽  
Micaela M. Graber ◽  
Dean G. Sotereanos
Keyword(s):  
Avascular Necrosis ◽  
Distal Radius ◽  
Scaphoid Nonunion ◽  
Proximal Pole

scholarly journals Proximal Scaphoid Pole Reconstruction Utilizing Ipsilateral Proximal Hamate Autograft

Hand ◽  
2016 ◽  
Vol 11 (4) ◽  
pp. 495-499 ◽  
Author(s):  
Bassem Elhassan ◽  
Mohamed Noureldin ◽  
Sanjeev Kakar
Keyword(s):  
Avascular Necrosis ◽  
Vascular Supply ◽  
Surgical Reconstruction ◽  
Scaphoid Nonunion ◽  
Proximal Pole ◽  
Secondary Fragmentation ◽  
Scapholunate Instability ◽  
Scaphoid Reconstruction

Background: Fractures of the proximal pole of the scaphoid can be difficult to heal because of its limited vascular supply. Furthermore, nonunion with avascular necrosis and secondary fragmentation makes surgical reconstruction a challenging procedure. Method: We describe a technique and report the outcome of a proximal hamate autograft to treat a proximal pole scaphoid nonunion with avascular necrosis. Results: At 3.5 years post reconstruction, the patient remains asymptomatic with union of his scaphoid reconstruction without any evidence of scapholunate instability. Conclusion: Proximal hamate autograft is a useful technique for addressing proximal pole scaphoid nonunions with avascular necrosis.

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