The scaphoid allograft: A new operation for treatment of the very proximal scaphoid nonunion or for the necrotic, fragmented scaphoid proximal pole

Peter R. Carter, Theodore Malinin, Paul A. Abbey, T. Greg Sommerkamp

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Abstract

This is a preliminary report of eight cases in which an allograft was used to replace half of the scaphoid. The indications for the procedure include the following: (1) Severe necrosis with fragmentation of the proximal pole, (2) Very proximal pole nonunion with small (less than 20% of the bone), unreconstructable proximal fragments, and (3) One case of severely comminuted intra-articular fracture of the scaphotrapezial joint and basal joint of the thumb caused by a gunshot wound. The Herbert scaphoid screw was used to provide rigid fixation. Follow-up ranged from 8 to 30 months. The result was good in six of eight patients. It should be emphasized that this is a preliminary report of the early experience with a new operation for salvage of difficult scaphoid fracture problems.

Original languageEnglish
Pages (from-to)1-12
Number of pages12
JournalJournal of Hand Surgery
Volume14
Issue number1
DOIs
StatePublished - Jan 1 1989
Externally publishedYes

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ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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