Supplemental Graft Fixation for Distal Radius Vascularized Bone Graft

Venouziou, Aaron I.; Sotereanos, Dean G.

doi:10.1016/j.jhsa.2012.04.024

Cited by 6 publications

(1 citation statement)

References 17 publications

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“…By eliminating several treatment variables and using a vascularized bone flap from a well-defined source, relatively uniform results might be expected. However, the wide variation in outcomes reported for the 1,2 ICSRA flap (with union rates ranging from 27% to 100% at times from 6.5 to 19 weeks) highlights the differences between studies (Hirche et al., 2014; Jones et al., 2009; Korompilias et al., 2014; Lim et al., 2013; Steinmann et al., 2002; Uerpairojkit et al., 2000; Venousiou and Sotereanos, 2012; Waitayawinyu et al., 2009). Some studies have attributed poor outcomes to compromising patient variables, such as proximal pole AVN and volar collapse (Braga-Silva et al., 2008; Jones et al., 2008; Straw et al., 2002).…”

Section: Vascularized Bone Flapsmentioning

confidence: 99%

Scaphoid nonunion: what is the role of the Zaidemberg 1,2 intercompartmental supraretinacular arterial flap?

Henry

2017

J Hand Surg Eur Vol

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The reported results for the treatment of scaphoid nonunions with non-vascularized grafts are based on observational studies with a high variability in union rates from 38%-100% and time to union from 6-18 weeks, and there is also a lack of a standard classification. Meta-analyses and systematic reviews have been presented to better support conclusions from large pools of data (604 to 5246 cases), but their interpretation remains limited because of lack of uniformity in the studies analysed. Several authors have presented results from the Zaidemburg flap, with highly variable outcomes despite using the same technique; union rates have ranged from 27%-100% achieved between 6.5-19 weeks. Technical details that may be responsible for the discrepancies are discussed. There is a need for a validated prognostic classification system for scaphoid nonunions that can allow comparisons between outcome studies.

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