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Journal of Hand Surgery (British and European Volume)
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Scaphoid Nonunion: Treatment with a Pedicled Vascularized Bone Graft Based on the 1,2 Intercompartmental Supraretinacular Branch of the Radial Artery

R. G. STRAW
T. R. C. DAVIS
J. J. DIAS

From the Orthopaedic Departments of University Hospital, Queens Medical Centre, Nottingham and University Hospitals of Leicester, Glenfield Hospital, Leicester, UK

Correspondence: Mr R.G. Straw MB ChB, MRCS (Eng), Orthopaedic Department, University Hospital, Queens Medical Centre, Nottingham, UK. E-mail: robertstraw66{at}hotmail.com

Pedicled vascularized bone grafts (Zaidemberg’s technique) were used to treat 22 established scaphoid fracture nonunions, 16 of which were found to have avascular proximal poles at surgery. After a follow-up of 1–3 years, only six (27%) of the 22 fracture nonunions had united. Only two of the 16 nonunions with avascular proximal poles united, compared with four of the six nonunions with vascular proximal poles. We conclude that this technique of pedicled vascularized bone grafting may not improve the union rate for scaphoid fracture nonunions with avascular proximal pole fragments.

Journal of Hand Surgery (British and European Volume), Vol. 27, No. 5, 413-416 (2002)
DOI: 10.1054/jhsb.2002.0808
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