Corrective Osteotomy for Scaphoid Malunion

Michael B. Gottschalk, Sanjeev Kakar

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Far less common then scaphoid nonunions, malunions remain a rare pathological clinical entity. Most often, this rare clinical subset arises from nonoperative treatment of displaced fractures, perilunate fractures, and/or chronic nonunions. Controversy exists in regards to the best treatment with many advocating non-operative management owing to the complex nature of the reconstruction required. When found with concomitant carpal malalignment, correction with osteotomy, bone graft, and screw fixation is recommended. Preoperative planning is necessary when considering correction and comparison to the contra-lateral side is often necessary. Outcomes can be satisfactory in patients with significant wrist symptomatology.

Original languageEnglish (US)
Title of host publicationScaphoid Fractures
Subtitle of host publicationEvidence-Based Management
PublisherElsevier Inc.
Pages229-235
Number of pages7
ISBN (Electronic)9780323496056
ISBN (Print)9780323485647
DOIs
StatePublished - Nov 27 2017

Keywords

  • Humpback deformity
  • Osteotomy
  • Scaphoid malunion

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Gottschalk, M. B., & Kakar, S. (2017). Corrective Osteotomy for Scaphoid Malunion. In Scaphoid Fractures: Evidence-Based Management (pp. 229-235). Elsevier Inc.. https://doi.org/10.1016/B978-0-323-48564-7.00026-5