Slight Elongation of the Scaphoid and Cancellous Bone Graft Without Compression for Treatment of Scaphoid Nonunions

Igor Golubev

doi:10.1016/j.hcl.2022.04.002

Slight Elongation of the Scaphoid and Cancellous Bone Graft Without Compression for Treatment of Scaphoid Nonunions

Hand Clin. 2022 Aug;38(3):351-356. doi: 10.1016/j.hcl.2022.04.002.

Author

Igor Golubev¹

Affiliation

¹ National Medical Research Center of Traumatology and Orthopedics Named After N.N. Priorov, Moscow, Russia. Electronic address: iog305@mail.ru.

PMID: 35985760
DOI: 10.1016/j.hcl.2022.04.002

Abstract

In treating scaphoid nonunion, we have developed a technique of bone grafting and elongation of the scaphoid stabilizing the construct with K wires without compression. Bony union was achieved in the large majority of scaphoids as demonstrated on computed tomography (CT) scans. We advocate slight lengthening of the scaphoid with bone graft and K-wire fixation without compression of the grafted bone when treating scaphoid waist nonunion.

Keywords: Arthroscopy; Elongation of scaphoid; Nonunion; Scaphoid.

Publication types

Review

MeSH terms

Bone Transplantation / methods
Cancellous Bone / transplantation
Fracture Fixation, Internal / methods
Fracture Healing
Fractures, Ununited* / surgery
Humans
Retrospective Studies
Scaphoid Bone* / surgery