Scaphoid Reconstruction.

@article{Borges2020ScaphoidR,
  title={Scaphoid Reconstruction.},
  author={Cristian Stein Borges and Paulo Henrique Ruschel and Milton B Pignataro},
  journal={The Orthopedic clinics of North America},
  year={2020},
  volume={51 1},
  pages={
          65-76
        }
}
Surgical strategies for scaphoid nonunions become more complex based on time from injury to treatment. The decision-making process, however, can follow a logical sequence. Scaphoid nonunions less than 1 year after trauma and no carpal malalignment can be treated with percutaneous screw fixation under fluoroscopic and/or arthroscopic guidance. Reinterventions or patients with avascular proximal poles that do not need substantial grafts are reliably treated with pedicle vascularized bone grafts… Expand
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TLDR
Both an adequate scaphoid resection and the choice of the right implant size are of paramount importance, and the capsuloplasty should be carefully performed at the right tension, providing adequate stability to the implant. Expand
Double trapezia sign
TLDR
The double trapezia sign is a valuable radiographic sign of scaphoid nonunion that implies mid-waist nonunion, long duration of non union, less possibility of AVN, and favorable postoperative prognosis. Expand
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TLDR
Arthroscopic assessment of traumatic conditions such as distal radius fractures, scaphoid fractures, and their associated non-unions, soft tissue, and chondral injuries are thought to be superior to fluoroscopy. Expand
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TLDR
The osteo-fasio-cutaneous DUA flap seems to be effective in the treatment of traumatic metacarpal bone defects accompanied by skin loss and the DUA-based vascularized ulnar bone may be a source for scaphoid and lunate biological bone reconstruction. Expand
DEMOGRAPHIC AND CLINICAL PROFILE OF ADULT PATIENTS WITH SCAPHOID FRACTURES IN POPULATION OF DISTRICT D.I.KHAN, PAKISTAN
TLDR
Scaphoid fractures are more common in men and younger adults and most are presented within a week of injury, mainly by fall on outstretched hand, involving right hand and involving waist. Expand

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The dorsal approach provides satisfactory exposure for fragment reduction and bone grafting in scaphoid nonunion with Kirschner wires, and the average follow-up was 5 years. Expand
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TLDR
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TLDR
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