The use of pedicled vascularized bone grafts in the treatment of scaphoid nonunion: clinical results, graft options and indications

Scaphoid nonunion is a challenging situation for orthopaedic surgeons. Nonunion rate is especially high in proximal pole fractures of the scaphoid due to tenuous retrograde blood supply. The use of pedicled vascularized bone grafts for the treatment of scaphoid nonunion provides both good clinical a...

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Autores principales: Karaismailoglu, Bedri, Fatih Guven, Mehmet, Erenler, Mert, Botanlioglu, Huseyin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2020
Materias:
Hand & Wrist
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7017592/
https://www.ncbi.nlm.nih.gov/pubmed/32071768
http://dx.doi.org/10.1302/2058-5241.5.190021
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author Karaismailoglu, Bedri
Fatih Guven, Mehmet
Erenler, Mert
Botanlioglu, Huseyin
author_facet Karaismailoglu, Bedri
Fatih Guven, Mehmet
Erenler, Mert
Botanlioglu, Huseyin
author_sort Karaismailoglu, Bedri
collection PubMed
description Scaphoid nonunion is a challenging situation for orthopaedic surgeons. Nonunion rate is especially high in proximal pole fractures of the scaphoid due to tenuous retrograde blood supply. The use of pedicled vascularized bone grafts for the treatment of scaphoid nonunion provides both good clinical and radiological outcomes. The preserved vascularity of the graft leads to better bone remodelling, less osteopenia, faster incorporation and better maintenance of bone mass compared to the conventional non-vascularized grafting. Pedicled vascularized bone grafts also allow the correction of the carpal alignment and humpback deformity of the scaphoid. Clinical and radiological results have been satisfactory and promising, making us anticipate that the role of vascularized bone grafting for the treatment of carpal diseases will increase. Cite this article: EFORT Open Rev 2020;5:1-8. DOI: 10.1302/2058-5241.5.190021
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spelling pubmed-70175922020-02-18 The use of pedicled vascularized bone grafts in the treatment of scaphoid nonunion: clinical results, graft options and indications Karaismailoglu, Bedri Fatih Guven, Mehmet Erenler, Mert Botanlioglu, Huseyin EFORT Open Rev Hand & Wrist Scaphoid nonunion is a challenging situation for orthopaedic surgeons. Nonunion rate is especially high in proximal pole fractures of the scaphoid due to tenuous retrograde blood supply. The use of pedicled vascularized bone grafts for the treatment of scaphoid nonunion provides both good clinical and radiological outcomes. The preserved vascularity of the graft leads to better bone remodelling, less osteopenia, faster incorporation and better maintenance of bone mass compared to the conventional non-vascularized grafting. Pedicled vascularized bone grafts also allow the correction of the carpal alignment and humpback deformity of the scaphoid. Clinical and radiological results have been satisfactory and promising, making us anticipate that the role of vascularized bone grafting for the treatment of carpal diseases will increase. Cite this article: EFORT Open Rev 2020;5:1-8. DOI: 10.1302/2058-5241.5.190021 British Editorial Society of Bone and Joint Surgery 2020-01-29 /pmc/articles/PMC7017592/ /pubmed/32071768 http://dx.doi.org/10.1302/2058-5241.5.190021 Text en © 2020 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Hand & Wrist
Karaismailoglu, Bedri
Fatih Guven, Mehmet
Erenler, Mert
Botanlioglu, Huseyin
The use of pedicled vascularized bone grafts in the treatment of scaphoid nonunion: clinical results, graft options and indications
title The use of pedicled vascularized bone grafts in the treatment of scaphoid nonunion: clinical results, graft options and indications
title_full The use of pedicled vascularized bone grafts in the treatment of scaphoid nonunion: clinical results, graft options and indications
title_fullStr The use of pedicled vascularized bone grafts in the treatment of scaphoid nonunion: clinical results, graft options and indications
title_full_unstemmed The use of pedicled vascularized bone grafts in the treatment of scaphoid nonunion: clinical results, graft options and indications
title_short The use of pedicled vascularized bone grafts in the treatment of scaphoid nonunion: clinical results, graft options and indications
title_sort use of pedicled vascularized bone grafts in the treatment of scaphoid nonunion: clinical results, graft options and indications
topic Hand & Wrist
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7017592/
https://www.ncbi.nlm.nih.gov/pubmed/32071768
http://dx.doi.org/10.1302/2058-5241.5.190021
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