MANAGEMENT OF PROXIMAL POLE SCAPHOID NONUNIONS A Critical Analysis Review

被引:5
|
作者
Wagner, Eric R. [1 ]
Spencer, Corey C. [1 ]
Dawes, Alexander M. [1 ]
Gottschalk, Michael B. [1 ]
Daly, Charles A. [1 ]
机构
[1] Emory Univ, Sch Med, Atlanta, GA 30322 USA
关键词
SCAPHOLUNATE ADVANCED COLLAPSE; ROW CARPECTOMY; 4-CORNER ARTHRODESIS; AVASCULAR NECROSIS; NATURAL-HISTORY; BONE-GRAFT; NON-UNIONS; WRIST; FIXATION; FRACTURE;
D O I
10.2106/JBJS.RVW.19.00181
中图分类号
R61 [外科手术学];
学科分类号
摘要
Optimal management of nonunions of the proximal pole of the scaphoid is controversial and dependent on many patient and pathophysiologic considerations. If the proximal pole subchondral bone support is sufficient, options include open reduction and internal fixation, either alone or in combination with autologous nonvascularized or vascularized bone graft. If the proximal pole is not salvageable, replacement with osteochondral autografts or osteochondral flaps is the only option for reconstruction of the native anatomy.
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页数:11
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