Abstract
Background: Fractures of the proximal pole of the scaphoid can be difficult to heal because of its limited vascular supply. Furthermore, nonunion with avascular necrosis and secondary fragmentation makes surgical reconstruction a challenging procedure. Method: We describe a technique and report the outcome of a proximal hamate autograft to treat a proximal pole scaphoid nonunion with avascular necrosis. Results: At 3.5 years post reconstruction, the patient remains asymptomatic with union of his scaphoid reconstruction without any evidence of scapholunate instability. Conclusion: Proximal hamate autograft is a useful technique for addressing proximal pole scaphoid nonunions with avascular necrosis.
Original language | English (US) |
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Pages (from-to) | 495-499 |
Number of pages | 5 |
Journal | Hand |
Volume | 11 |
Issue number | 4 |
DOIs | |
State | Published - Dec 1 2016 |
Keywords
- avascularity
- ipsilateral proximal hamate autograft
- nonunion
- proximal scaphoid pole fracture
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine