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Published on: December 22, 2015
Vascularized bone graft for scaphoid nonunion
Jeffrey J Pokorny1, Heather Davids, Moheb S Moneim
1Department of Orthopaedics & Rehabilitation University of New Mexico Health Sciences Center Albuquerque, New Mexico, U.S.A.
Abstract:
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 are numerous publications discussing both the vascular anatomy of the distal radius and the scaphoid, little is written about the surgical technique. This study reviews the literature on scaphoid nonunion and outlines the authors' experience with this procedure.
