2009
DOI: 10.5435/00124635-200912000-00003
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Pedicled Vascularized Bone Grafts for Scaphoid and Lunate Reconstruction

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Cited by 39 publications
(42 citation statements)
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“…Vascularized bone grafts enhance the vascular supply to facilitate union. [15][16][17][18] We previously reported a series of 13 patients with pseudarthrosis of the scaphoid, who underwent dorsal radius vascularized bone grafting, 10 of whom had an avascular proximal pole. With a minimum follow-up of 1 year, 10 of 13 patients achieved union.…”
Section: Discussionmentioning
confidence: 99%
“…Vascularized bone grafts enhance the vascular supply to facilitate union. [15][16][17][18] We previously reported a series of 13 patients with pseudarthrosis of the scaphoid, who underwent dorsal radius vascularized bone grafting, 10 of whom had an avascular proximal pole. With a minimum follow-up of 1 year, 10 of 13 patients achieved union.…”
Section: Discussionmentioning
confidence: 99%
“…Vascularized bone graft is an option in the management of wrist disorders with compromised bone vascularity [5] but has been used to treat early disease and the absence of osteonecrosis or prior surgery [6].…”
Section: Discussionmentioning
confidence: 99%
“…The options are broadly: bone grafting procedures or palliative surgical procedures. Most recently, vascularised pedicle bone grafting has shown good results in halting and even reversing avascular necrosis in the scaphoid [1517]. For cases which are advanced and not amenable to grafting (i.e., stage III AVN in nonunions) palliative surgical options are: proximal row carpectomy or scaphoid excision plus four-corner fusion [13].…”
Section: Discussionmentioning
confidence: 99%
“…For cases which are advanced and not amenable to grafting (i.e., stage III AVN in nonunions) palliative surgical options are: proximal row carpectomy or scaphoid excision plus four-corner fusion [13]. There are no substantial reviews of the efficacy of these management options, but vascularised bone grafting has shown good results in early disease in three recent papers concerned with the scaphoid for relieving pain [1517]. …”
Section: Discussionmentioning
confidence: 99%