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

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.

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.

Original languageEnglish (US)
JournalHand
DOIs
StateAccepted/In press - Dec 4 2014

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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