Volar plate fixation of recalcitrant scaphoid nonunions with volar carpal artery vascularized bone graft

Seth D. Dodds, Joseph T. Patterson, Andrea Halim

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Chronic scaphoid fracture nonunion continues to present a significant challenge to the treating orthopedic surgeon. Internal fixation with threaded compression screws leads to high union rates, and is currently the gold standard, but there are certainly circumstances where a scaphoid screw does not provide the stability necessary for nonunion repair. Results using a volar buttress plate have been promising, but have not been described in conjunction with the use of vascularized bone graft. Vascularized bone grafts have been shown to be highly effective in achieving rapid and reproducible rates of union. We describe a novel combination of a vascularized volar distal radius wedge autograft pedicled on the volar carpal artery and volar buttress plating for salvage treatment of chronic scaphoid nonunion.

Original languageEnglish (US)
Pages (from-to)2-7
Number of pages6
JournalTechniques in Hand and Upper Extremity Surgery
Volume18
Issue number1
DOIs
StatePublished - Mar 1 2014
Externally publishedYes

Keywords

  • Recalcitrant scaphoid nonunion
  • Scaphoid fracture
  • Vascularized bone graft
  • Volar scaphoid plate

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Fingerprint Dive into the research topics of 'Volar plate fixation of recalcitrant scaphoid nonunions with volar carpal artery vascularized bone graft'. Together they form a unique fingerprint.

  • Cite this