Reconstruction of Scaphoid Non-Union and Total Scaphoid Avascular Necrosis in a Pediatric Patient: A Case Report

Abstract

Background The medial femoral condyle vascularized bone graft has grown in popularity for treating recalcitrant fracture non-unions and has become particularly useful in treating scaphoid non-union with avascular necrosis of the proximal pole. The medial femoral condyle is an excellent source of dense, well-vascularized bone and results in minimal donor site morbidity. Methods We describe an unusual case of chronic scaphoid non-union and total scaphoid avascular necrosis in a skeletally immature patient. Scaphoid reconstruction was performed with a vascularized medial femoral condyle graft, with successful graft incorporation, and restoration of pain-free wrist motion. Conclusions Technical considerations for harvest of the medial femoral condyle bone graft in the skeletally immature patient are discussed.