Document Detail


Vascularised bone graft from the base of the second metacarpal for refractory nonunion of the scaphoid.
MedLine Citation:
PMID:  15446528     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A vascularised bone-graft procedure from the base of the second metacarpal was performed in 14 patients with nonunion of the scaphoid. There were 11 men and three women with a mean age of 22 years. In eight patients, who had dorsiflexed intercalated segment instability (DISI), an open wedge was formed at the site of nonunion, and the vascular pedicle was grafted from the volar side. In the six patients without DISI, transplantation was carried out through the same dorsal skin incision. Complete bony union was obtained in all patients after a mean post-operative period of 10.2 weeks, and DISI was corrected in all affected patients. According to Cooney's clinical scoring system, the results were excellent in five, good in six, and fair in three patients. Because of its technical simplicity and the limited dissection needed, the procedure should be considered for the primary surgical treatment of patients with nonunion of the scaphoid.
Authors:
T Sawaizumi; M Nanno; A Nanbu; H Ito
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  86     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-09-27     Completed Date:  2004-10-05     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  1007-12     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Bone Transplantation / methods*
Female
Fracture Healing
Fractures, Ununited / radiography,  surgery*
Hand Strength
Humans
Male
Metacarpus* / blood supply,  transplantation
Range of Motion, Articular
Scaphoid Bone / injuries*,  radiography,  surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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