“…Vascularized bone grafts (VBGs) have been used to increase the union rate under such circumstances. 8,9 The use of pedicle VBGs harvested either from the dorsal or volar side is technically easier than the free vascular graft, and has been reported to show promising results. 10 -12 However, difficulties in accommodating the bone graft into the scaphoid cavity and failure in correcting the humpback deformity because of limited pedicle length have been described.…”
The index study suggests that this treatment can be used not only to revascularize necrotic scaphoid, but also to correct humpback deformity and the resulting carpal instability.
“…Vascularized bone grafts (VBGs) have been used to increase the union rate under such circumstances. 8,9 The use of pedicle VBGs harvested either from the dorsal or volar side is technically easier than the free vascular graft, and has been reported to show promising results. 10 -12 However, difficulties in accommodating the bone graft into the scaphoid cavity and failure in correcting the humpback deformity because of limited pedicle length have been described.…”
The index study suggests that this treatment can be used not only to revascularize necrotic scaphoid, but also to correct humpback deformity and the resulting carpal instability.
“…[1][2][3][4] Some researchers even have suggested treating symptomatic malunions of the scaphoid with an osteotomy to correct intrascaphoid angular malalignment. 2,5 Others have questioned the importance of residual scaphoid deformity after fracture. 6 To investigate the importance of scaphoid deformity a reliable measure of scaphoid deformity is needed.…”
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