Bone Graft in the Treatment of the Non-Consolidation of the Scaphoid with Necrosis of the Proximal Pole – A Systematic Review

Abstract

The scaphoid fractures are the most common of the carpal bones, corresponding to 60; 10% of these progress to nonconsolidation, moreover, 3% can present necrosis of the proximal pole. There are various methods of treatment using vascularized (VBG) and nonvascularised bone grafts (NVBG). To evaluate and compare the rate of scaphoid consolidation with necrosis of the proximal pole using different surgical techniques. The authors conducted a systematic review of the literature using the following databases: PubMed and Bireme/Lilacs, where 13 case series were selected (10 with use of VBG and 3 of NVBG), according to inclusion and exclusion criteria. In most cases the vascularized bone grafts were used, especially those based on intercompartmental supraretinacular artery 1 and 2 due to greater reproducibility in performing the surgical technique.