The scaphoid allograft: A new operation for treatment of the very proximal scaphoid nonunion or for the necrotic, fragmented scaphoid proximal pole
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), un...
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| Veröffentlicht in: | The Journal of hand surgery (American ed.) 1989, Vol.14 (1), p.1-12 |
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| container_title | The Journal of hand surgery (American ed.) |
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| creator | Carter, Peter R. Malinin, Theodore I. Abbey, Paul A. Greg Sommerkamp, T. |
| description | 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. |
| doi_str_mv | 10.1016/0363-5023(89)90052-X |
| format | Article |
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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.</description><identifier>ISSN: 0363-5023</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1016/0363-5023(89)90052-X</identifier><identifier>PMID: 2656840</identifier><identifier>CODEN: JHSUDV</identifier><language>eng</language><publisher>New york, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Bone Screws ; Bone Transplantation ; Carpal Bones - injuries ; Fracture Fixation, Internal ; Fractures, Bone - surgery ; Fractures, Ununited - surgery ; Humans ; Medical sciences ; Methods ; Orthopedic surgery ; Osteonecrosis - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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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.</description><subject>Biological and medical sciences</subject><subject>Bone Screws</subject><subject>Bone Transplantation</subject><subject>Carpal Bones - injuries</subject><subject>Fracture Fixation, Internal</subject><subject>Fractures, Bone - surgery</subject><subject>Fractures, Ununited - surgery</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Methods</subject><subject>Orthopedic surgery</subject><subject>Osteonecrosis - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Transplantations, organ and tissue grafts. Graft diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carter, Peter R.</creatorcontrib><creatorcontrib>Malinin, Theodore I.</creatorcontrib><creatorcontrib>Abbey, Paul A.</creatorcontrib><creatorcontrib>Greg Sommerkamp, T.</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>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carter, Peter R.</au><au>Malinin, Theodore I.</au><au>Abbey, Paul A.</au><au>Greg Sommerkamp, T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The scaphoid allograft: A new operation for treatment of the very proximal scaphoid nonunion or for the necrotic, fragmented scaphoid proximal pole</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>1989</date><risdate>1989</risdate><volume>14</volume><issue>1</issue><spage>1</spage><epage>12</epage><pages>1-12</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><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.</abstract><cop>New york, NY</cop><pub>Elsevier Inc</pub><pmid>2656840</pmid><doi>10.1016/0363-5023(89)90052-X</doi><tpages>12</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0363-5023 |
| ispartof | The Journal of hand surgery (American ed.), 1989, Vol.14 (1), p.1-12 |
| issn | 0363-5023 1531-6564 |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Biological and medical sciences Bone Screws Bone Transplantation Carpal Bones - injuries Fracture Fixation, Internal Fractures, Bone - surgery Fractures, Ununited - surgery Humans Medical sciences Methods Orthopedic surgery Osteonecrosis - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
| title | The scaphoid allograft: A new operation for treatment of the very proximal scaphoid nonunion or for the necrotic, fragmented scaphoid proximal pole |
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