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Published on: August 13, 2017
Non-vascularized iliac bone grafting for scaphoid nonunion with avascular necrosis
Jihyeung Kim1, Jin Woo Park1, Jeehyeok Chung1
1Department of Orthopaedic Surgery, College of Medicine, Seoul National University, Seoul, Republic of Korea.
Abstract:
We present the surgical outcomes of non-vascularized bone grafting taken from the iliac crest in 24 patients with scaphoid nonunion and avascular necrosis. The Fisk-Fernandez technique was used in 11 patients, and cancellous bone grafting was used in 13 patients. Bony union was achieved in 22 of the 24 patients. Non-vascularized iliac bone grafting can be used for the surgical management of scaphoid nonunion with avascular necrosis. Although revascularization of the proximal fragment after surgery was not evaluated, bony union was confirmed in nearly all patients.
Level Of Evidence:
IV.
