[Vascularized bone transfer of scapula apophysis]
A Brancati1, P Granier, L Téot
1Unité médicochirurgicale des plaies et cicatrisations, hôpital La Peyronie, 191 avenue du Doyen-Gaston-Giraud, Montpellier, France. antonio.brancati@yahoo.it
Chirurgie De La Main
|November 16, 2010
Summary
Vascularized scapular apophysis transfer offers unique bone grafting for mandibular, humeral, or femoral reconstruction. It is particularly effective for stabilizing radial hand malformation by improving wrist stability.
Area of Science:
- Orthopedic Surgery
- Plastic Surgery
- Regenerative Medicine
Context:
- The vascularized bone transfer of the scapular apophysis, first described in 1982, possesses unique growth potential and remodeling plasticity.
- This technique has been primarily utilized for mandibular reconstruction but shows promise in other orthopedic applications.
Purpose:
- To review the application of vascularized scapular apophysis transfer, focusing on its primary indication for radial hand malformation.
- To highlight the technique's benefits in enhancing carpal stabilization and wrist function.
Summary:
- The scapular apophysis provides a robust graft for various reconstructions, including mandibular, humeral, and femoral defects.
- In radial hand malformation, this transfer stabilizes the wrist by increasing the carpal contact surface area, addressing ulnar carpal instability and radial deviation.
- Preserved epiphyseal vascularization ensures excellent graft remodeling and integration.
Impact:
- This bone grafting technique offers a viable solution for complex reconstructions, particularly in congenital hand differences.
- It demonstrates the potential for improved functional outcomes and long-term stability in challenging orthopedic cases.
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