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

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

Research output: Contribution to journalArticle

129 Citations (Scopus)

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 - 2002

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Arteries
Transplants
Bone and Bones
Bone Transplantation
Joint Diseases
Wrist
Arthritis
Necrosis
Self-Assessment
Surveys and Questionnaires

Keywords

  • Bone graft
  • Fracture
  • Nonunion
  • Scaphoid

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Use of the 1,2 intercompartmental supraretinacular artery as a vascularized pedicle bone graft for difficult scaphoid nonunion. / Steinmann, Scott P.; Bishop, Allen Thorp; Berger, Richard A.

In: Journal of Hand Surgery, Vol. 27, No. 3, 2002, p. 391-401.

Research output: Contribution to journalArticle

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