Abstract

ENRIQUE MANUEL, Vergara Amador. Vascularized bone graft in scaphoid fractures. Anatomical details and clincial indications. A cases series . rev.fac.med. [online]. 2007, vol.55, n.3, pp.173-180. ISSN 0120-0011.

Background . The fracture of scaphoid continues being a challenge for orthopedist and hand surgeons. Objective . To show the anatomical details of the bony strip from the second metacarpal in corpses injected with green latex and the results of the chirurgical technique in a series of patients with scaphoid speudartrosis. Materials and methods . We carry out an initial anatomical analysis before employing the chirurgical technique in clinical setting, and then we did a descriptive study of patients with pseudarthrosis of scaphoid, treated with vascularized bony graft by the first metacarpal artery. Results . All patients consolidated and improved in the pain scale, they did not have mobility deterioration or residual carpus instability, after ten years of observations. Conclusions . The vascularized graft is a useful option in the management of the speudartrosis of the scaphoid.

Keywords : scaphoid bone; fractures; bone; bone transplantation; pseudarthrosis.

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