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Proximal Scaphoid Pole Reconstruction Utilizing Ipsilateral Proximal Hamate Autograft
Bassem Elhassan1, Mohamed Noureldin1, Sanjeev Kakar1
1Mayo Clinic, Rochester, MN, USA.
Summary
A proximal hamate autograft effectively treats proximal pole scaphoid nonunions with avascular necrosis. This surgical technique promotes bone healing and prevents scapholunate instability, offering a viable solution for complex wrist fractures.
Area of Science:
- Orthopedic Surgery
- Hand and Wrist Surgery
- Trauma Surgery
Background:
- Proximal pole scaphoid fractures exhibit poor healing due to limited vascularity.
- Nonunion, avascular necrosis, and fragmentation complicate surgical reconstruction.
- Scaphoid nonunion presents a significant challenge in orthopedic practice.

