Scaphoid Nonunions: Local Vascularized Bone Flaps.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 37979983.
- Also identified by DOI 10.1016/j.hcl.2023.08.004.
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Abstract
If untreated, scaphoid nonunions may progress to scaphoid nonunion advanced collapse in a substantial portion of cases and may require salvage procedures. Multiple different techniques have been described to address scaphoid nonunion. Vascularized bone flaps (VBFs) are associated with faster time to union compared with nonvascularized grafts. Because these are local pedicled flaps, they do not require microsurgical anastomoses and should be within the armamentarium of all hand surgeons. Appropriately chosen local VBFs, can achieve union rates up to 90% to 100% in appropriately selected patients.
Medical subject headings
- Fractures, Ununited
- Scaphoid Bone