Document Detail

Vascularized second metacarpal-base bone graft in scaphoid non-union by the palmar approach.
MedLine Citation:
PMID:  12632308     Owner:  NLM     Status:  MEDLINE    
Vascularized second metacarpal-base bone grafting from the palmar side for scaphoid non-union was performed in seven patients (six males and one female, with a mean age of 26 years). In all patients, bone union was obtained at a mean of 10.2 weeks. In six of the seven patients, preoperative dorsal intercalated segment instability (DISI) was corrected. The results were excellent in three patients, good in two patients, and fair in two patients, showing that more than 80 percent of the patients had satisfactory results. In this procedure, the second dorsal metacarpal artery, with a large vascular diameter, is used as the pedicle, and the second metacarpal base, which is abundant in cancellous bone, is elevated on the dorsal side and grafted on the open-wedged scaphoid non-union on the palmar side. This procedure is reliable and useful, particularly for scaphoid non-union with DISI.
Takuya Sawaizumi; Mitsuhiko Nanno; Hiromoto Ito
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of reconstructive microsurgery     Volume:  19     ISSN:  0743-684X     ISO Abbreviation:  J Reconstr Microsurg     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-03-12     Completed Date:  2003-06-05     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  8502670     Medline TA:  J Reconstr Microsurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  99-106     Citation Subset:  IM    
Department of Orthopaedic Surgery, Nippon Medical School, Tokyo, Japan.
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MeSH Terms
Bone Transplantation / methods*
Follow-Up Studies
Fracture Healing / physiology
Fractures, Ununited / radiography,  surgery*
Metacarpus / blood supply*,  transplantation*
Range of Motion, Articular / physiology
Recovery of Function
Risk Assessment
Sampling Studies
Scaphoid Bone / injuries*
Treatment Outcome
Wrist Injuries / radiography,  surgery

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

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