Document Detail


A new volar vascularization technique using the superficial palmar branch of the radial artery for the collapsed scaphoid nonunion.
MedLine Citation:
PMID:  20818218     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Achieving union to prevent scaphoid nonunion advanced collapse wrist in the scaphoid nonunion is a challenging clinical problem. Much of the difficulty relates to the tenuous blood supply to the scaphoid. One unsolved reconstructive problem is the collapsed scaphoid that requires an intercalated wedge graft with proximal pole avascular necrosis. We offer a simple technique that only requires preservation of the superficial palmar branch of the radial artery that is typically ligated during the volar approach to the scaphoid. This technique can also be used during any open volar approach to the scaphoid to increase vascularity and healing.
Authors:
Peter Tang; Charla R Fischer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Techniques in hand & upper extremity surgery     Volume:  14     ISSN:  1531-6572     ISO Abbreviation:  Tech Hand Up Extrem Surg     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-06     Completed Date:  2010-12-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9704676     Medline TA:  Tech Hand Up Extrem Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  160-72     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY 10032, USA.
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MeSH Terms
Descriptor/Qualifier:
Bone Screws
Bone Transplantation
Fracture Fixation, Internal / methods*
Fracture Healing
Fractures, Ununited / surgery*
Humans
Male
Osteonecrosis / surgery*
Radial Artery / surgery*
Scaphoid Bone / blood supply*,  injuries*
Vascular Surgical Procedures / methods*
Young Adult

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


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