A total of 26 adolescent patients were treated for scaphoid nonunion with a vascularized bone graft from either the medial femoral condyle or dorsal distal radius. There was an 85% union incidence, improved carpal alignment and a low incidence of complications.
ChangMABishopATMoranSLShinAY.The outcomes and complications of 1,2-intercompartmental supraretinacular artery pedicled vascularized bone grafting of scaphoid nonunions. J Hand Surg. 2006,
31: 387–96.
2.
CooneyWPDobynsJHLinscheidRL.Nonunion of the scaphoid: analysis of the results from bone grafting. J Hand Surg Am. 1980,
5: 343–54.
3.
GholsonJJBaeDSZurakowskiDWatersPM.Scaphoid fractures in children and adolescents: contemporary injury patterns and factors influencing time to union. J Bone Joint Surg Am. 2011,
93: 1210–9.
4.
PulosNKollitzKMBishopATShinAY.Free vascularized medial femoral condyle bone graft after failed scaphoid nonunion surgery. J Bone Joint Surg Am. 2018,
100: 1379–86.
