A Critical Appraisal of Vascularized Bone Grafting for Scaphoid Nonunion.

ABSTRACT: Background  Vascularized bone grafting (VBG) has the potential to yield reliable results in scaphoid nonunion; however, results across studies have been highly variable. This study critically evaluates surgical techniques, fracture location, and patient selection in relation to radiographic, clinical, and patient-centered outcomes after VBG for scaphoid nonunion. Methods  We conducted a systematic review of the literature for the use of VBG in scaphoid nonunion. Physical examination, radiographic, and patient-centered outcomes were assessed. Four substratifications were performed: the location of scaphoid nonunion, pedicled versus free technique, Kirschner wire (K-wire) versus screw fixation, and VBG done as a primary versus revision procedure. Results  A total of 41 p

SUBMITTER: Alluri RK 

PROVIDER: S-EPMC5515614 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature