Vascularized Bone Grafts for Scaphoid Nonunions

被引：24
|
作者：
Jones, D. B., Jr. [1 ]
Rhee, P. C. [1 ]
Shin, A. Y. [1 ]
机构：
[1] Mayo Clin, Dept Orthoped Surg, Div Hand Surg, Rochester, MN 55905 USA
来源：
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 2012年 / 37A卷 / 05期
关键词：
Nonunion; scaphoid; vascularized bone graft; MEDIAL FEMORAL CONDYLE; 1,2-INTERCOMPARTMENTAL SUPRARETINACULAR ARTERY; AVASCULAR NECROSIS; PROXIMAL POLE; DISTAL RADIUS; ILIAC CREST; WAIST NONUNIONS; FIXATION; ANATOMY;
D O I：
10.1016/j.jhsa.2012.03.001
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Scaphoid fractures that fail to unite are at risk of developing avascular necrosis and progressive structural collapse, thereby complicating attempts at revision surgical treatment. Vascularized bone grafts have demonstrated utility in promoting consolidation in the treatment of scaphoid nonunions complicated by avascular necrosis. Numerous pedicled and free vascularized grafts have been described with variable, but generally favorable, outcomes. Understanding the indications for different grafts is critical to the successful application of these techniques and grafts in the treatment of challenging scaphoid nonunions. (J Hand Surg 2012;37A:1090-1094. Copyright (C) 2012 by the American Society for Surgery of the Hand. All rights reserved.)
引用
收藏
页码：1090 / 1094
页数：5
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