Treatment of scaphoid non-unions by a palmar approach with vascularised bone graft harvested from the thumb
Ten patients with scaphoid non-unions which had been present for longer than 2 years were treated using a vascularised bone graft harvested from the thumb and pedicled on the first dorsal metacarpal artery. Bone harvesting and grafting were performed by a single palmar approach. Concomitant cancello...
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| Veröffentlicht in: | Journal of hand surgery, British volume British volume, 2007-04, Vol.32 (2), p.217-223 |
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| container_title | Journal of hand surgery, British volume |
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| creator | Bertelli, J.A. Peruchi, F.M. Rost, J.R. Tacca, C.P. |
| description | Ten patients with scaphoid non-unions which had been present for longer than 2 years were treated using a vascularised bone graft harvested from the thumb and pedicled on the first dorsal metacarpal artery. Bone harvesting and grafting were performed by a single palmar approach. Concomitant cancellous bone graft was not used. Bone healing was confirmed by CT scans in nine of the ten patients. Persistence of the non-union was observed in one patient who was the oldest in this series, had the longest standing non-union and was a heavy smoker. Twelve months after surgery, nine of the ten patients had significant pain relief with an improved range of motion and grip strength. |
| doi_str_mv | 10.1016/j.jhsb.2006.10.014 |
| format | Article |
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Bone harvesting and grafting were performed by a single palmar approach. Concomitant cancellous bone graft was not used. Bone healing was confirmed by CT scans in nine of the ten patients. Persistence of the non-union was observed in one patient who was the oldest in this series, had the longest standing non-union and was a heavy smoker. Twelve months after surgery, nine of the ten patients had significant pain relief with an improved range of motion and grip strength.</description><identifier>ISSN: 0266-7681</identifier><identifier>ISSN: 1753-1934</identifier><identifier>EISSN: 1532-2211</identifier><identifier>EISSN: 2043-6289</identifier><identifier>DOI: 10.1016/j.jhsb.2006.10.014</identifier><identifier>PMID: 17196311</identifier><language>eng</language><publisher>London, England: Elsevier Ltd</publisher><subject>Adult ; Biological and medical sciences ; Bone Transplantation - methods ; Cohort Studies ; Fracture Healing ; Fractures, Ununited - diagnostic imaging ; Fractures, Ununited - surgery ; Hand Strength ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; Metacarpal Bones - blood supply ; Metacarpal Bones - transplantation ; Middle Aged ; Orthopedic surgery ; Pain Measurement ; Radiography ; Range of Motion, Articular ; Scaphoid Bone - diagnostic imaging ; Scaphoid Bone - injuries ; Scaphoid Bone - surgery ; scaphoid fracture ; scaphoid non-union ; scaphoid pseudoarthrosis ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Thumb - blood supply ; Thumb - surgery ; thumb metacarpal ; Traumas. Diseases due to physical agents ; vascularised bone grafts ; wrist instabilities</subject><ispartof>Journal of hand surgery, British volume, 2007-04, Vol.32 (2), p.217-223</ispartof><rights>2006</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c505t-865447ce9e5299f40689d8eeb6389fe0b648427c0a494148d208e28f020af85f3</citedby><cites>FETCH-LOGICAL-c505t-865447ce9e5299f40689d8eeb6389fe0b648427c0a494148d208e28f020af85f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1016/J.JHSB.2006.10.014$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1016/J.JHSB.2006.10.014$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18611008$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17196311$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bertelli, J.A.</creatorcontrib><creatorcontrib>Peruchi, F.M.</creatorcontrib><creatorcontrib>Rost, J.R.</creatorcontrib><creatorcontrib>Tacca, C.P.</creatorcontrib><title>Treatment of scaphoid non-unions by a palmar approach with vascularised bone graft harvested from the thumb</title><title>Journal of hand surgery, British volume</title><addtitle>J Hand Surg Eur Vol</addtitle><description>Ten patients with scaphoid non-unions which had been present for longer than 2 years were treated using a vascularised bone graft harvested from the thumb and pedicled on the first dorsal metacarpal artery. Bone harvesting and grafting were performed by a single palmar approach. Concomitant cancellous bone graft was not used. Bone healing was confirmed by CT scans in nine of the ten patients. Persistence of the non-union was observed in one patient who was the oldest in this series, had the longest standing non-union and was a heavy smoker. Twelve months after surgery, nine of the ten patients had significant pain relief with an improved range of motion and grip strength.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Bone Transplantation - methods</subject><subject>Cohort Studies</subject><subject>Fracture Healing</subject><subject>Fractures, Ununited - diagnostic imaging</subject><subject>Fractures, Ununited - surgery</subject><subject>Hand Strength</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metacarpal Bones - blood supply</subject><subject>Metacarpal Bones - transplantation</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Pain Measurement</subject><subject>Radiography</subject><subject>Range of Motion, Articular</subject><subject>Scaphoid Bone - diagnostic imaging</subject><subject>Scaphoid Bone - injuries</subject><subject>Scaphoid Bone - surgery</subject><subject>scaphoid fracture</subject><subject>scaphoid non-union</subject><subject>scaphoid pseudoarthrosis</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Thumb - blood supply</subject><subject>Thumb - surgery</subject><subject>thumb metacarpal</subject><subject>Traumas. Diseases due to physical agents</subject><subject>vascularised bone grafts</subject><subject>wrist instabilities</subject><issn>0266-7681</issn><issn>1753-1934</issn><issn>1532-2211</issn><issn>2043-6289</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ksFvFCEYxYnR2LX6D3gwXNTTbIFhGEi8aKPWpokH65kwzEeHdQZGmFnT_142u7Hx0gMhefm9jy_vgdBrSraUUHGx2-6G3G0ZIaIIW0L5E7ShTc0qxih9ijaECVG1QtIz9CLnHSGENi1_js5oS5WoKd2gX7cJzDJBWHB0OFszD9H3OMRQrcHHkHF3jw2ezTiZhM08p2jsgP_4ZcB7k-06muQz9LiLAfBdMm7Bg0l7yEsRXYoTXgYoZ526l-iZM2OGV6f7HP388vn28qq6-f712-XHm8o2pFkqKRrOWwsKGqaU40RI1UuATtRSOSCd4JKz1hLDFadc9oxIYNIRRoyTjavP0fvj3LLs77VsoiefLYyjCRDXrFsuWFs3QhXy3eMkYVxJRQvIjqBNMecETs_Jl0TuNSX6UIa-1tdXPz7pQxkHrZRRTG9O09dugv7Bckq_AG9PQEnSjC6ZYH1-4KSglBBZuIsjl80d6F1cUyj5Pf70h6MDSs57D0ln6yFY6H0Cu-g--n_2nT58o__sfwEJBbWc</recordid><startdate>20070401</startdate><enddate>20070401</enddate><creator>Bertelli, J.A.</creator><creator>Peruchi, F.M.</creator><creator>Rost, J.R.</creator><creator>Tacca, C.P.</creator><general>Elsevier Ltd</general><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>20070401</creationdate><title>Treatment of scaphoid non-unions by a palmar approach with vascularised bone graft harvested from the thumb</title><author>Bertelli, J.A. ; Peruchi, F.M. ; Rost, J.R. ; Tacca, C.P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c505t-865447ce9e5299f40689d8eeb6389fe0b648427c0a494148d208e28f020af85f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Bone Transplantation - methods</topic><topic>Cohort Studies</topic><topic>Fracture Healing</topic><topic>Fractures, Ununited - diagnostic imaging</topic><topic>Fractures, Ununited - surgery</topic><topic>Hand Strength</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metacarpal Bones - blood supply</topic><topic>Metacarpal Bones - transplantation</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Pain Measurement</topic><topic>Radiography</topic><topic>Range of Motion, Articular</topic><topic>Scaphoid Bone - diagnostic imaging</topic><topic>Scaphoid Bone - injuries</topic><topic>Scaphoid Bone - surgery</topic><topic>scaphoid fracture</topic><topic>scaphoid non-union</topic><topic>scaphoid pseudoarthrosis</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Thumb - blood supply</topic><topic>Thumb - surgery</topic><topic>thumb metacarpal</topic><topic>Traumas. Diseases due to physical agents</topic><topic>vascularised bone grafts</topic><topic>wrist instabilities</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bertelli, J.A.</creatorcontrib><creatorcontrib>Peruchi, F.M.</creatorcontrib><creatorcontrib>Rost, J.R.</creatorcontrib><creatorcontrib>Tacca, C.P.</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>Journal of hand surgery, British volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bertelli, J.A.</au><au>Peruchi, F.M.</au><au>Rost, J.R.</au><au>Tacca, C.P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of scaphoid non-unions by a palmar approach with vascularised bone graft harvested from the thumb</atitle><jtitle>Journal of hand surgery, British volume</jtitle><addtitle>J Hand Surg Eur Vol</addtitle><date>2007-04-01</date><risdate>2007</risdate><volume>32</volume><issue>2</issue><spage>217</spage><epage>223</epage><pages>217-223</pages><issn>0266-7681</issn><issn>1753-1934</issn><eissn>1532-2211</eissn><eissn>2043-6289</eissn><abstract>Ten patients with scaphoid non-unions which had been present for longer than 2 years were treated using a vascularised bone graft harvested from the thumb and pedicled on the first dorsal metacarpal artery. Bone harvesting and grafting were performed by a single palmar approach. Concomitant cancellous bone graft was not used. Bone healing was confirmed by CT scans in nine of the ten patients. Persistence of the non-union was observed in one patient who was the oldest in this series, had the longest standing non-union and was a heavy smoker. Twelve months after surgery, nine of the ten patients had significant pain relief with an improved range of motion and grip strength.</abstract><cop>London, England</cop><pub>Elsevier Ltd</pub><pmid>17196311</pmid><doi>10.1016/j.jhsb.2006.10.014</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0266-7681 |
| ispartof | Journal of hand surgery, British volume, 2007-04, Vol.32 (2), p.217-223 |
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| language | eng |
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| subjects | Adult Biological and medical sciences Bone Transplantation - methods Cohort Studies Fracture Healing Fractures, Ununited - diagnostic imaging Fractures, Ununited - surgery Hand Strength Humans Injuries of the limb. Injuries of the spine Male Medical sciences Metacarpal Bones - blood supply Metacarpal Bones - transplantation Middle Aged Orthopedic surgery Pain Measurement Radiography Range of Motion, Articular Scaphoid Bone - diagnostic imaging Scaphoid Bone - injuries Scaphoid Bone - surgery scaphoid fracture scaphoid non-union scaphoid pseudoarthrosis Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Thumb - blood supply Thumb - surgery thumb metacarpal Traumas. Diseases due to physical agents vascularised bone grafts wrist instabilities |
| title | Treatment of scaphoid non-unions by a palmar approach with vascularised bone graft harvested from the thumb |
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