Abstract:
:Many hand surgeons argue that vascularized bone grafting is indicated in proximal pole avascular necrosis, prior failed surgery, or long-standing scaphoid nonunion. However, the available evidence does not support improved treatment outcomes for vascularized bone grafting rather than traditional nonvascularized techniques. This article addresses the available evidence and examines the role of vascularized bone grafting in scaphoid nonunion treatment. It also identifies important factors that influence healing, clarifies the decision-making algorithm, and proposes areas for further research.
journal_name
Hand Clinjournal_title
Hand clinicsauthors
Rancy SK,Schmidle G,Wolfe SWdoi
10.1016/j.hcl.2019.03.005subject
Has Abstractpub_date
2019-08-01 00:00:00pages
323-344issue
3eissn
0749-0712issn
1558-1969pii
S0749-0712(19)30020-4journal_volume
35pub_type
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