Use of the 1,2 intercompartmental supraretinacular artery as a vascularized pedicle bone graft for difficult scaphoid nonunion

Scott P. Steinmann, Allen T. Bishop, Richard A. Berger

Research output: Contribution to journalArticlepeer-review

139 Scopus citations

Abstract

Fourteen patients with established scaphoid nonunion were treated with vascularized pedicle bone grafting. All nonunions healed at a mean of 11.1 weeks (range, 8-16 weeks). Wrist motion was minimally affected by surgery. Intercarpal and scaphoid angles were improved after surgery, particularly in patients with preoperative humpback deformity who had previous interposition grafting. Outcome, based on a self-assessment questionnaire administered at a mean 30 months of follow-up (range, 19-53 months), showed 2 excellent, 7 good, 4 fair, and 1 poor result. Three patients showed progressive radioscaphoid arthrosis. Vascularized bone grafts are indicated in proximal pole fracture nonunions, in the presence of avascular necrosis, and after conventional grafts. Radiocarpal arthritis, if present before surgery, is a poor prognostic sign.

Original languageEnglish (US)
Pages (from-to)391-401
Number of pages11
JournalJournal of Hand Surgery
Volume27
Issue number3
DOIs
StatePublished - Jan 1 2002

Keywords

  • Bone graft
  • Fracture
  • Nonunion
  • Scaphoid

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Fingerprint Dive into the research topics of 'Use of the 1,2 intercompartmental supraretinacular artery as a vascularized pedicle bone graft for difficult scaphoid nonunion'. Together they form a unique fingerprint.

Cite this