Treatment of scaphoid waist nonunions with an avascular proximal pole and carpal collapse. Surgical technique.

@article{Jones2009TreatmentOS,
  title={Treatment of scaphoid waist nonunions with an avascular proximal pole and carpal collapse. Surgical technique.},
  author={David B. Jones and Heinz K Buerger and Allen T. Bishop and Alexander Y. Shin},
  journal={The Journal of bone and joint surgery. American volume},
  year={2009},
  volume={91 Suppl 2},
  pages={169-83}
}
BACKGROUND Surgically, it is difficult to achieve union of a scaphoid nonunion that is associated with osteonecrosis of the proximal pole, and those with carpal collapse are especially difficult to treat. A variety of vascularized bone grafts can be used. The purpose of this study was to compare the effectiveness of two types of vascularized bone graft -- a distal radial pedicle graft and a free vascularized medial femoral condyle graft -- in the treatment of scaphoid waist nonunions associated… CONTINUE READING