Bone Grafts Research Today is a free monthly online journal that collates and summarizes the latest research about Bone Grafts, including details on spine fusion, surgery, procedure, risks. | ||||||||
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Scaphoid non-union: the role of vascularized grafting in recalcitrant non-unions of the scaphoid.Tambe AD, Cutler L, Stilwell J, Murali SR, Trail IA, Stanley JK Wrightington Hospital, Wrightington, Wigan & Leigh NHS Trust, UK. anant_tambe@yahoo.com Achieving union using conventional grafts has a high chance of failure in patients with recalcitrant non-union (persistent pseudarthrosis) of the scaphoid bone, an avascular proximal fragment and previous failed surgeries because of poor host bed vascularity. Eleven patients with long-standing non-union were treated with vascularized pedicle bone grafting and supplementary corticocancellous grafting. Five had screw fixation and six were fixed with K-wires. The average age of the patients was 28 years, average duration of the non-union was 39 months and mean radiological follow-up was 32 months. There were no significant skeletal complications, although two patients developed neuromata. At review, only six of the 11 non-unions were united. Whilst this is a difficult clinical problem and achieving union is a formidable challenge, we believe that there is a role for such extensive surgery in order to achieve good postoperative function. Published 20 February 2006 in J Hand Surg [Br], 31(2): 185-90.
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