Management of Scaphoid Nonunions

被引:7
|
作者
Waitayawinyu, Thanapong [1 ]
Pfaeffle, H. James [1 ]
McCallister, Wren V. [1 ]
Nemechek, Nicholas M. [1 ]
Trumble, Thomas E. [1 ]
机构
[1] Univ Washington, Dept Orthopaed & Sports Med, Seattle, WA 98195 USA
关键词
Vascularized bone graft; Scaphoid nonunion; Avascular necrosis; 1,2 ICSRA; VASCULARIZED BONE-GRAFT; HERBERT SCREW FIXATION; AVASCULAR NECROSIS; DISTAL RADIUS; NON-UNION; SUPRARETINACULAR ARTERY; NATURAL-HISTORY; PROXIMAL POLE; CARPAL ARTERY; ILIAC CREST;
D O I
10.1016/j.hcl.2009.08.011
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Scaphoid nonunions can exist with or without avascular necrosis of the proximal pole, and waist fractures may have an associated humpback deformity. CT bestshows the deformity and bone loss, whereas MRI will show avascular necrosis. Operative treatment should be directed at correcting the deformity with open reduction and internal fixation and bone grafting. Vascularized bone grafts should be used in cases of avascular necrosis.
引用
收藏
页码:105 / 117
页数:13
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