Treatment of Scaphoid Non-Unions by a Palmar Approach with Vascularised Bone Graft Harvested from the Thumb

✍ Scribed by BERTELLI, J. A. ;PERUCHI, F. M. ;ROST, J. R. ;TACCA, C. P.

• Book ID: 120196928
• Publisher: Elsevier Science
• Year: 2007
• Tongue: English
• Weight: 665 KB
• Volume: 32
• Category: Article
• ISSN: 0363-5023
• DOI: 10.1016/j.jhsb.2006.10.014

✦ Synopsis

Ten patients with scaphoid non-unions which had been present for longer than 2 years were treated using a vascularised bone graft harvested from the thumb and pedicled on the first dorsal metacarpal artery. Bone harvesting and grafting were performed by a single palmar approach. Concomitant cancellous bone graft was not used. Bone healing was confirmed by CT scans in nine of the ten patients. Persistence of the non-union was observed in one patient who was the oldest in this series, had the longest standing non-union and was a heavy smoker. Twelve months after surgery, nine of the ten patients had significant pain relief with an improved range of motion and grip strength.