Behandlung schwieriger Skaphoidpseudarthrosen durch Knochentransplantation und zusätzliche Implantation der zweiten dorsalen Metakarpalarterie in der Technik nach Fernandez und Eggli - Erfahrungsbericht*

Autor:	Kalb K, U. Bartelmann
Rok vydání:	2001
Předmět:	Dorsum medicine.medical_specialty business.industry Nonunion Bone healing Dissection (medical) medicine.disease Iliac crest Surgery Resection medicine.anatomical_structure medicine Orthopedics and Sports Medicine Blood supply business Artery
Zdroj:	Handchirurgie · Mikrochirurgie · Plastische Chirurgie. 33:379-386
ISSN:	1439-3980 0722-1819
DOI:	10.1055/s-2001-19452
Popis:	One of the procedures for the treatment of scaphoid-nonunion with loss of blood supply to the proximal fragment involves the technique described by Fernandez and Eggli (1995 4 ). After resection of the necrotic bone and inserting a corticocancellous bone graft from the iliac crest, the second dorsal intermetacarpal artery is implanted into the proximal fragment of the scaphoid. In our hospital, six patients underwent this procedure from May 1998 to June 2000 because of necrosis of the proximal pole or an unsuccessful previous operation. Union was achieved in five patients. In one case, nonunion persisted and the cystic area increased. The described technique is suitable for improvement of bone healing of the scaphoid in complicated cases. The advantages of this technique lie in the predictable anatomy of the second intermetacarpal artery and the straightforward dissection.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::b77cca638ac399ac5ce2a65fd833c526 https://doi.org/10.1055/s-2001-19452 Zobrazit plný text záznamu