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 |
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Rok vydání: | 2021 |
Předmět: |
Scaphoid Bone
030222 orthopedics medicine.medical_specialty Bone Transplantation business.industry medicine.medical_treatment 030229 sport sciences Optimal management Surgical Flaps Surgery 03 medical and health sciences Fracture Fixation Internal surgical procedures operative 0302 clinical medicine Vascularized bone Subchondral bone Fractures Ununited medicine Internal fixation Humans Orthopedics and Sports Medicine business Reduction (orthopedic surgery) |
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 |
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