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Journal of Hand Surgery (British and European Volume)
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Articles

Further Experience with the Index Metacarpal Vascularized Bone Graft

C. MATHOULIN
E BRUNELLI

From the Institut de la Main, Clinique Jouvenet, Paris, France

Correspondence: Dr C. Mathoulin, Institut de la Main, Clinique Jouvenet, 6 Square Jouvenet, 75016 Paris, France.

We report our experience in the use of a vascularized bone graft harvested from the head of the index metacarpal to treat scaphoid nonunion after failure of other techniques. Only 15 patients were treated between 1988 and 1994, showing the scarcity of indications for the operation. Union was obtained in 14 cases but the functional results were acceptable in ten cases only. This was due to previously unnoticed degenerative lesions.

Journal of Hand Surgery (British and European Volume), Vol. 23, No. 3, 311-317 (1998)
DOI: 10.1016/S0266-7681(98)80048-X
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