Vascularised Bone Grafting in the Management of Scaphoid Non-Union – A Review of 34 Cases
We reviewed the outcomes of 34 patients who had undergone vascularised bone grafting for a chronic scaphoid non-union. Mean age was 27 years (range 16–46 years). The dominant hand was involved in 17 cases. Eleven patients were smokers. In 18 cases the fracture involved the proximal and in 16 cases t...
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| Veröffentlicht in: | The Journal of hand surgery, European volume European volume, 2008-10, Vol.33 (5), p.628-631 |
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| container_title | The Journal of hand surgery, European volume |
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| creator | KAPOOR, A. K. THOMPSON, N. W. RAFIQ, I. HAYTON, M. J. STILLWELL, J. TRAIL, I. A. |
| description | We reviewed the outcomes of 34 patients who had undergone vascularised bone
grafting for a chronic scaphoid non-union. Mean age was 27 years (range
16–46 years). The dominant hand was involved in 17 cases. Eleven
patients were smokers. In 18 cases the fracture involved the proximal and in 16
cases the middle third of the scaphoid. In 26 patients the proximal scaphoid
fragment was deemed avascular. Sixteen patients had previously undergone
scaphoid fixation and non-vascularised bone grafting. At a follow-up of 1 to 3
years (mean 1.6 years), 15 of the 34 scaphoid non-unions had united. Injury to
the dominant hand and duration of the non-union significantly increased the risk
of failure. Persistent non-union was more common in proximal third fractures and
in the presence of an avascular proximal pole but these findings did not reach
statistical significance. |
| doi_str_mv | 10.1177/1753193408092038 |
| format | Article |
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grafting for a chronic scaphoid non-union. Mean age was 27 years (range
16–46 years). The dominant hand was involved in 17 cases. Eleven
patients were smokers. In 18 cases the fracture involved the proximal and in 16
cases the middle third of the scaphoid. In 26 patients the proximal scaphoid
fragment was deemed avascular. Sixteen patients had previously undergone
scaphoid fixation and non-vascularised bone grafting. At a follow-up of 1 to 3
years (mean 1.6 years), 15 of the 34 scaphoid non-unions had united. Injury to
the dominant hand and duration of the non-union significantly increased the risk
of failure. Persistent non-union was more common in proximal third fractures and
in the presence of an avascular proximal pole but these findings did not reach
statistical significance.</description><identifier>ISSN: 1753-1934</identifier><identifier>EISSN: 2043-6289</identifier><identifier>DOI: 10.1177/1753193408092038</identifier><identifier>PMID: 18977833</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Bone Transplantation - methods ; Cohort Studies ; Diseases of the osteoarticular system ; Female ; Fracture Fixation, Internal - methods ; Fracture Healing ; Fractures, Ununited - surgery ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; Middle Aged ; Retrospective Studies ; Scaphoid Bone - blood supply ; Scaphoid Bone - injuries ; Traumas. Diseases due to physical agents ; Treatment Outcome ; Young Adult</subject><ispartof>The Journal of hand surgery, European volume, 2008-10, Vol.33 (5), p.628-631</ispartof><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c397t-b979ed1cb8b6c03cd69253700e253fe43f40065336643c119b8ec1cda5737fe53</citedby><cites>FETCH-LOGICAL-c397t-b979ed1cb8b6c03cd69253700e253fe43f40065336643c119b8ec1cda5737fe53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1753193408092038$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1753193408092038$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21818,27923,27924,43620,43621</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20714699$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18977833$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KAPOOR, A. K.</creatorcontrib><creatorcontrib>THOMPSON, N. W.</creatorcontrib><creatorcontrib>RAFIQ, I.</creatorcontrib><creatorcontrib>HAYTON, M. J.</creatorcontrib><creatorcontrib>STILLWELL, J.</creatorcontrib><creatorcontrib>TRAIL, I. A.</creatorcontrib><title>Vascularised Bone Grafting in the Management of Scaphoid Non-Union – A Review of 34 Cases</title><title>The Journal of hand surgery, European volume</title><addtitle>J Hand Surg Eur Vol</addtitle><description>We reviewed the outcomes of 34 patients who had undergone vascularised bone
grafting for a chronic scaphoid non-union. Mean age was 27 years (range
16–46 years). The dominant hand was involved in 17 cases. Eleven
patients were smokers. In 18 cases the fracture involved the proximal and in 16
cases the middle third of the scaphoid. In 26 patients the proximal scaphoid
fragment was deemed avascular. Sixteen patients had previously undergone
scaphoid fixation and non-vascularised bone grafting. At a follow-up of 1 to 3
years (mean 1.6 years), 15 of the 34 scaphoid non-unions had united. Injury to
the dominant hand and duration of the non-union significantly increased the risk
of failure. Persistent non-union was more common in proximal third fractures and
in the presence of an avascular proximal pole but these findings did not reach
statistical significance.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Bone Transplantation - methods</subject><subject>Cohort Studies</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fracture Healing</subject><subject>Fractures, Ununited - surgery</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Scaphoid Bone - blood supply</subject><subject>Scaphoid Bone - injuries</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1753-1934</issn><issn>2043-6289</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1u1DAUhS1ERaeFPSvkDe0q1M5N_LMso9Ii9UcCyqaLyHFuWlcZe7ATEDveoW_Ik9TRjIqEBKu7ON85V_oIec3ZO86lPOKyBq6hYorpkoF6RhYlq6AQpdLPyWKOiznfJXsp3TNWK83FC7LLlZZSASzIzVeT7DSY6BJ29H3wSE-j6Ufnb6nzdLxDemG8ucUV-pGGnn62Zn0XXEcvgy-uvQue_v71QI_pJ_zu8MeMQEWXJmF6SXZ6MyR8tb375PrDyZflWXF-dfpxeXxeWNByLFotNXbctqoVloHthC5rkIxhPj1W0FeMiRpAiAos57pVaLntTC1B9ljDPjnc7K5j-DZhGpuVSxaHwXgMU2pkJUoJXMzkwX9JoWX-VaoMsg1oY0gpYt-so1uZ-LPhrJnVN3-rz5U32-2pXWH3p7B1nYG3WyArN0MfjbcuPXElk7wSWmeu2HApa2_uwxR9tvfvx4_59pZZ</recordid><startdate>20081001</startdate><enddate>20081001</enddate><creator>KAPOOR, A. K.</creator><creator>THOMPSON, N. W.</creator><creator>RAFIQ, I.</creator><creator>HAYTON, M. J.</creator><creator>STILLWELL, J.</creator><creator>TRAIL, I. A.</creator><general>SAGE Publications</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QP</scope></search><sort><creationdate>20081001</creationdate><title>Vascularised Bone Grafting in the Management of Scaphoid Non-Union – A Review of 34 Cases</title><author>KAPOOR, A. K. ; THOMPSON, N. W. ; RAFIQ, I. ; HAYTON, M. J. ; STILLWELL, J. ; TRAIL, I. A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c397t-b979ed1cb8b6c03cd69253700e253fe43f40065336643c119b8ec1cda5737fe53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Bone Transplantation - methods</topic><topic>Cohort Studies</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fracture Healing</topic><topic>Fractures, Ununited - surgery</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Scaphoid Bone - blood supply</topic><topic>Scaphoid Bone - injuries</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KAPOOR, A. K.</creatorcontrib><creatorcontrib>THOMPSON, N. W.</creatorcontrib><creatorcontrib>RAFIQ, I.</creatorcontrib><creatorcontrib>HAYTON, M. J.</creatorcontrib><creatorcontrib>STILLWELL, J.</creatorcontrib><creatorcontrib>TRAIL, I. A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Calcium & Calcified Tissue Abstracts</collection><jtitle>The Journal of hand surgery, European volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KAPOOR, A. K.</au><au>THOMPSON, N. W.</au><au>RAFIQ, I.</au><au>HAYTON, M. J.</au><au>STILLWELL, J.</au><au>TRAIL, I. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vascularised Bone Grafting in the Management of Scaphoid Non-Union – A Review of 34 Cases</atitle><jtitle>The Journal of hand surgery, European volume</jtitle><addtitle>J Hand Surg Eur Vol</addtitle><date>2008-10-01</date><risdate>2008</risdate><volume>33</volume><issue>5</issue><spage>628</spage><epage>631</epage><pages>628-631</pages><issn>1753-1934</issn><eissn>2043-6289</eissn><abstract>We reviewed the outcomes of 34 patients who had undergone vascularised bone
grafting for a chronic scaphoid non-union. Mean age was 27 years (range
16–46 years). The dominant hand was involved in 17 cases. Eleven
patients were smokers. In 18 cases the fracture involved the proximal and in 16
cases the middle third of the scaphoid. In 26 patients the proximal scaphoid
fragment was deemed avascular. Sixteen patients had previously undergone
scaphoid fixation and non-vascularised bone grafting. At a follow-up of 1 to 3
years (mean 1.6 years), 15 of the 34 scaphoid non-unions had united. Injury to
the dominant hand and duration of the non-union significantly increased the risk
of failure. Persistent non-union was more common in proximal third fractures and
in the presence of an avascular proximal pole but these findings did not reach
statistical significance.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>18977833</pmid><doi>10.1177/1753193408092038</doi><tpages>4</tpages></addata></record> |
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| ispartof | The Journal of hand surgery, European volume, 2008-10, Vol.33 (5), p.628-631 |
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| subjects | Adolescent Adult Biological and medical sciences Bone Transplantation - methods Cohort Studies Diseases of the osteoarticular system Female Fracture Fixation, Internal - methods Fracture Healing Fractures, Ununited - surgery Humans Injuries of the limb. Injuries of the spine Male Medical sciences Middle Aged Retrospective Studies Scaphoid Bone - blood supply Scaphoid Bone - injuries Traumas. Diseases due to physical agents Treatment Outcome Young Adult |
| title | Vascularised Bone Grafting in the Management of Scaphoid Non-Union – A Review of 34 Cases |
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