Reconstruction of scaphoid non-union and total scaphoid avascular necrosis in a pediatric patient: a case report

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3 Scopus citations

Abstract

Background: The medial femoral condyle vascularized bone graft has grown in popularity for treating recalcitrant fracture non-unions and has become particularly useful in treating scaphoid non-union with avascular necrosis of the proximal pole. The medial femoral condyle is an excellent source of dense, well-vascularized bone and results in minimal donor site morbidity. Methods: We describe an unusual case of chronic scaphoid non-union and total scaphoid avascular necrosis in a skeletally immature patient. Scaphoid reconstruction was performed with a vascularized medial femoral condyle graft, with successful graft incorporation, and restoration of pain-free wrist motion. Conclusions: Technical considerations for harvest of the medial femoral condyle bone graft in the skeletally immature patient are discussed.

Original languageEnglish (US)
Pages (from-to)477-481
Number of pages5
JournalHand
Volume10
Issue number3
DOIs
StatePublished - Oct 1 2015

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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