Vascularized medial femoral condyle graft for management of scaphoid non-union

Author:

Elgammal A.1,Lukas B.2

Affiliation:

1. Ain Shams University Hospitals Egypt, Landshut Achdorf Klinik, Munich, Germany

2. Hand, Elbow and Plastic Surgery Department, Schön Klinik München Harlaching, Munich, Germany

Abstract

The purpose of this study was to assess the results of the management of difficult scaphoid non-unions using a vascularized medial femoral condyle graft. We operated on 30 patients with necrosis of the proximal pole or with severe humpback deformity or who presented with persistent non-union despite previous surgery. Twenty-four cases in our series showed full consolidation and six cases showed persistent non-union. The free vascularized medial femoral condyle bone graft can provide not only structural support, but also a consistent and good blood supply that results in excellent rates of union. Level of evidence: IV

Publisher

SAGE Publications

Subject

Surgery

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