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 I. Malinin, Paul A. Abbey, T. Greg Sommerkamp

Research output: Contribution to journalArticlepeer-review

41 Scopus citations

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

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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