Management of Proximal Pole Scaphoid Nonunions: A Critical Analysis Review

Autor: Michael B. Gottschalk, Charles A. Daly, Corey C. Spencer, Eric R. Wagner, Alexander M. Dawes
Rok vydání: 2021
Předmět:
Zdroj: JBJS reviews. 9(4)
ISSN: 2329-9185
Popis: » Optimal management of nonunions of the proximal pole of the scaphoid is controversial and dependent on many patient and pathophysiologic considerations. » If the proximal pole subchondral bone support is sufficient, options include open reduction and internal fixation, either alone or in combination with autologous nonvascularized or vascularized bone graft. » If the proximal pole is not salvageable, replacement with osteochondral autografts or osteochondral flaps is the only option for reconstruction of the native anatomy.
Databáze: OpenAIRE