Simplified scaphoid reconstruction technique with Zaidemberg’s vascularized radial graft - 19/05/12

Doi : 10.1016/j.otsr.2012.04.007

Y. Saint Cast ^a,^⁎ , B. Césari ^a, G. Dagregorio ^b, M. Le Bourg ^c, A. Gazarian ^d, G. Raimbeau ^a, P.-A. Fouque ^a, F. Rabarin ^a, J. Jeudy ^a, F. Mallard ^a
^a Centre de la main, village santé Angers-Loire, 47, rue de la Foucaudière, 49800 Trelaze, France
^b Service de chirurgie orthopédique, hôpital Jacques-Cœur, CHU La Milètrie, rue de la Milèterie, 86000 Poitiers, France
^c Centre de la main, CHP Saint-Grégoire, 6, rue de la Boutière, CS 56816, 35760 Saint-Grégoire, France
^d Clinique du Parc, 155, boulevard Stalingrad, 69006 Lyon, France

Corresponding author.

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En prensa. Pruebas corregidas por el autor. Disponible en línea desde el Saturday 19 May 2012
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Summary

For more than 10 years, we have been using a simplified reconstruction technique for scaphoid non-unions that involves the use of a graft first described by Zaidemberg et al. [1]. This approach requires that an island bone graft harvested from the radial styloid and pedicled on the 1,2-intercompartmental supraretinacular artery be embedded into the site of the non-union. The objective of our technical modifications was to simplify the harvesting and handling of the graft and the internal fixation. This technique is only used for cases of scaphoid non-union with avascular changes in the proximal fragment, repeated non-union after bone grafting and internal fixation, chronic non-union with osteophyte formation in the dorso-radial aspect and fracture secondary to Preiser disease.

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Keywords : Scaphoid non-union, Graft