Does Anyone Need a Vascularized Graft?

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 Clin

journal_title

Hand clinics

authors

Rancy SK,Schmidle G,Wolfe SW

doi

10.1016/j.hcl.2019.03.005

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

323-344

issue

3

eissn

0749-0712

issn

1558-1969

pii

S0749-0712(19)30020-4

journal_volume

35

pub_type

杂志文章,评审
  • Exposures of the elbow.

    abstract::This article describes the basic bony, ligamentous, and neurologic anatomy of the structures about the elbow. The surgical exposures of the elbow joint are described, providing details of the various posterior, lateral, and medial approaches to the articular segments. Clinical applications describing the potential ben...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2014.08.001

    authors: Axelrod TS

    更新日期:2014-11-01 00:00:00

  • Evaluation and staging of musculoskeletal neoplasia.

    abstract::Musculoskeletal neoplasia are rare and can present in a highly variable fashion. Maintaining an index of suspicion for the presence of neoplasia is important. A standard approach to evaluation with history, physical, and appropriate imaging studies is mandatory. This information then can be synthesized to properly sta...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2004.03.008

    authors: Parsons TW 3rd,Filzen TW

    更新日期:2004-05-01 00:00:00

  • Hand and wrist injuries in young athletes.

    abstract::Successful treatments of musculoskeletal injuries in the pediatric population demand a thorough understanding of the basic anatomy and its biomechanics, and the physiology of growth and development of the immature skeleton. In addition, good treatment outcomes rely on the treating physician being an effective teacher ...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Le TB,Hentz VR

    更新日期:2000-11-01 00:00:00

  • The distal radioulnar joint in rheumatoid arthritis.

    abstract::Rheumatoid arthritis commonly affects the distal radioulnar joint (DRUJ). This can result in pain, instability, or tendon rupture. The goals of surgical reconstruction of the DRUJ are to relieve pain, stabilize the joint, and prevent tendon rupture. We review many of the previously described procedures and report our ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: O'Donovan TM,Ruby LK

    更新日期:1989-05-01 00:00:00

  • Cerebral palsy of the upper extremity.

    abstract::The care of patients with spastic cerebral palsy requires the dedicated attention of a surgeon who is interested in the upper extremity, in association with therapists and other medical personnel who have a similar interest. The difficult problems of the upper extremity have often been overlooked by concerns related t...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Manske PR

    更新日期:1990-11-01 00:00:00

  • The distal radioulnar joint complex in rheumatoid arthritis: an overview.

    abstract::Rheumatoid arthritis frequently involves the distal radioulnar joint region and is progressive. Early recognition of involvement is paramount to offering patients appropriate and timely treatment. Early operative intervention should be considered preventative. Synovectomy, hemiresection interposition technique, matche...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Clawson MC,Stern PJ

    更新日期:1991-05-01 00:00:00

  • Management of proximal interphalangeal joint injuries.

    abstract::Injuries about the PIP joint of the finger are commonly encountered by primary care physicians and are associated with significant morbidity, including pain, stiffness, instability, premature degenerative arthritis, and residual deformities. An accurate understanding of the regional anatomy and appreciation of the mec...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2006.05.003

    authors: Freiberg A,Pollard BA,Macdonald MR,Duncan MJ

    更新日期:2006-08-01 00:00:00

  • Carpal Ligament Injuries, Pathomechanics, and Classification.

    abstract::Carpal instability is a complex array of maladaptive and posttraumatic conditions that lead to the inability of the wrist to maintain anatomic relationships under normal loads. Many different classification schemes have evolved to explain the mechanistic evolution and pathophysiology of carpal instability, including 2...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2015.04.011

    authors: Lee DJ,Elfar JC

    更新日期:2015-08-01 00:00:00

  • Failure of differentiation: Part II (arthrogryposis, camptodactyly, clinodactyly, madelung deformity, trigger finger, and trigger thumb).

    abstract::The term "failure of differentiation" describes the phenotypes of a large number of otherwise unrelated conditions. The six conditions described here (arthrogryposis, camptodactyly, clinodactyly, Madelung deformity, trigger finger, and trigger thumb) are believed to occur because various structures failed to different...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2008.12.003

    authors: Ty JM,James MA

    更新日期:2009-05-01 00:00:00

  • Extensor tendon grafting on the dorsum of the hand in massive tendon loss.

    abstract::After severe injury to the dorsum of the hand, it may not be possible to directly repair the extensor tendons. Patients in this article were treated by initial skin replacement with pedicle flaps for coverage prior to extensor tendon grafting. Multiple operative procedures were necessary, but restoration was uniformly...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Cautilli D,Schneider LH

    更新日期:1995-08-01 00:00:00

  • Distraction method for chronic dorsal fracture dislocation of the proximal interphalangeal joint.

    abstract::The authors used gradual ligamentous distraction for closed reduction of nine irreducible dorsal fracture dislocations of the PIP joint. The volar fragment size was equal to or less than 40% in five and more than 50% in four. The average follow up was 18 months. The sequence of treatment required distraction, translat...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Patel MR,Joshi BB

    更新日期:1994-05-01 00:00:00

  • Complications in tendon injury and surgery.

    abstract::Despite continued improvement in the methods used to treat tendon injury, problems still arise. Careful attention paid to the details of surgical indications, technique, and postoperative management will prevent or reduce the effects of complications in this difficult area of hand surgery. ...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Schneider LH

    更新日期:1986-05-01 00:00:00

  • Radiographic imaging of foreign bodies in the hand.

    abstract::Injuries involving foreign bodies in the hand are common. Index of suspicion should be high in any hand injury, particularly with a proper history. Plain radiographs should be obtained liberally and multiple views always taken. Xeroradiography, if available, is helpful if the plain radiographs are normal and a foreign...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Donaldson JS

    更新日期:1991-02-01 00:00:00

  • Compression neuropathies in the anterior forearm.

    abstract::In nerve entrapment syndromes in the upper extremity, the surgeon must first become a diagnostician. When the symptoms of entrapment are bilateral, diabetes mellitus and cervical arthritis are found in a significant statistical number over the general population. These diseases can result in incomplete relief of sympt...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Howard FM

    更新日期:1986-11-01 00:00:00

  • The role of operative arthroscopy for the diagnosis and treatment of lesions about the distal ulna.

    abstract::Operative arthroscopy of the wrist compliments the physical examination and radiographic imaging to improve diagnosis and treatment of lesions about the distal ulna. This article reviews the relevant anatomy, biomechanics, and classification of acute and degenerative lesions of the triangular fibrocartilage complex (T...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Fulcher SM,Poehling GG

    更新日期:1998-05-01 00:00:00

  • Capitellar and Trochlear Fractures.

    abstract::Fractures of the capitellum and trochlea account for a small proportion of elbow trauma. Clinicians need to be vigilant in their assessment as they are commonly associated with other injuries about the elbow. To optimize outcomes, the goals of management include a stable, anatomic reduction and early range of motion. ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2015.07.001

    authors: Carroll MJ,Athwal GS,King GJ,Faber KJ

    更新日期:2015-11-01 00:00:00

  • Postoperative infection in hand surgery. Cause, prevention, and treatment.

    abstract::The consequences of postoperative infection in hand surgery are fortunately uncommon but can lead to severe disability. This article reviews the pathogenesis of infections and the role of antibiotics, skin preparation, and surgical technique in the development and prevention of infection. The final sections discuss th...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Shapiro DB

    更新日期:1994-02-01 00:00:00

  • Ulnar artery thrombosis.

    abstract::Management of ulnar artery thrombosis is a complex problem. Diagnosis is confirmed by Allen testing; other special studies are needed for adequate evaluation of circulation, and arteriography is necessary before definitive therapy can be planned. Treatment must be patient oriented and directed at the underlying abnorm...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Koman LA,Urbaniak JR

    更新日期:1985-05-01 00:00:00

  • The management of bone defects of the forearm after trauma.

    abstract::In summary, the authors believe that traumatic bone defects of the diaphyseal forearm, fewer than 6 cm in length, can be well managed with corticocancellous bone grafting, provided the patient has an adequate soft-tissue envelope. In cases of soft-tissue compromise, primary bone grafting is still the treatment of choi...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Stevanovic M,Gutow AP,Sharpe F

    更新日期:1999-05-01 00:00:00

  • Primary bone tumors of the hand and carpus.

    abstract::This discussion has attempted to outline a fundamental approach to the radiographic analysis of solitary lesions of the hand and wrist skeleton. The initial evaluation invariably relies on the routine radiograph, using the conventional film-screen combination to obtain a sense of the lesion in its gross anatomic setti...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Feldman F

    更新日期:1987-05-01 00:00:00

  • Treatment of Recurrent Dupuytren Disease.

    abstract::Treatment of recurrent Dupuytren disease is challenging. Multiple options exist, each having relative benefits and weaknesses. Choice for optimal treatment is made on a case-by-case basis, with shared decision making with the patient. Percutaneous and enzymatic techniques are best reserved for patients with well-defin...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2018.03.009

    authors: Kaplan FTD,Crosby NE

    更新日期:2018-08-01 00:00:00

  • Microsurgical Reconstruction of the Burned Hand and Upper Extremity.

    abstract::Improvements in critical care and burn victim resuscitation have led to increased survival of burned patients. Initial resuscitation, early excision of burned tissues, prevention of burn wound sepsis, and wound coverage remain mainstays of care. Many burn wounds require complex reconstruction. This is particularly imp...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2016.12.007

    authors: De la Garza M,Sauerbier M,Günter G,Cetrulo CL Jr,Bueno RA Jr,Russell RC,Neumeister MW

    更新日期:2017-05-01 00:00:00

  • Pulse volume recording.

    abstract::Noninvasive studies, in general, and pulse volume recordings (PVRs), in particular, play important roles in diagnosis, planning, and monitoring of therapy for vascular disorders of the upper extremity. Essentially, PVR is a useful screening tool to show whether hemodynamically significant vascular disease has produced...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Kleinert JM,Gupta A

    更新日期:1993-02-01 00:00:00

  • Outcomes analysis in hand surgery patients--get your project started!

    abstract::Once there are answers to the research questions, the results must be used in clinical practice to alter treatment plans, giving patients the most appropriate choices and the highest quality outcomes based on scientific data. Daily clinical practice can be improved by applying the results of outcomes studies to altern...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0712(03)00005-2

    authors: Arslanian C

    更新日期:2003-08-01 00:00:00

  • The carpal joint. Anatomy and function.

    abstract::The carpal joint can be approached as a mechanism consisting of kinematic chains. In these chains, the proximal carpals function as intercalated segments. Intercarpal displacements are linked to one another and are based upon the mutual attuning of carpal bone geometry, joint contacts, and ligamentous interconnections...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Kauer JM,de Lange A

    更新日期:1987-02-01 00:00:00

  • Total wrist arthroplasty.

    abstract::This article reviews the history of total wrist arthroplasty as a treatment option for painful, nonfunctional wrists in disease states. Technologic advances in materials, wear properties, and manufacturing now account for increased implant longevity. They may also improve total wrist replacement design, survival, and ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2012.08.015

    authors: McBeath R,Osterman AL

    更新日期:2012-11-01 00:00:00

  • Management of chronic pain following nerve injuries/CRPS type II.

    abstract::Chronic pain affects quality of life and adversely affects functional outcomes. Chronic postoperative pain is a frustrating problem for the surgeon because it ruins a technically perfect procedure, and the surgeon may be unsure of treatment strategies. There is much information on chronic pain and its treatment, but i...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2013.04.009

    authors: Carroll I,Curtin CM

    更新日期:2013-08-01 00:00:00

  • Recognition and treatment of uncommon carpal fractures.

    abstract::Fractures of the trapezial ridge, hamate hook, and pisiform are often due to isolated, direct injury, but other carpal bone fractures are seldom isolated injuries. Midcarpal fractures should stimulate a search for associated perilunate injury; distal carpal row fractures suggest carpometacarpal fracture--dislocations ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Failla JM,Amadio PC

    更新日期:1988-08-01 00:00:00

  • Classification and management of intra-articular fractures of the distal radius.

    abstract::A classification of distal radial articular fractures is described, based on observations of consistent patterns of fracture fragmentation and displacement. The classification categorizes articular fractures into four types, with the medial complex assuming a pivotal position as the cornerstone of both the radiocarpal...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Isani A,Melone CP Jr

    更新日期:1988-08-01 00:00:00

  • Fixation for distal radius fractures.

    abstract::Distal radius fractures are common fractures that can cause significant disability. As techniques and implants have improved, better results can be expected from internal and external fixation of complex wrist fractures. With meticulous technique, articular alignment can be secured and small articular fragments can be...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Leibovic SJ

    更新日期:1997-11-01 00:00:00