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), 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.
Carter
P R
PR
Department of Orthopedics, University of Texas, Southwestern Medical Center, Dallas.
Malinin
T I
TI
Abbey
P A
PA
Sommerkamp
T G
TG
D001863:Bone Screws; D016025:Bone Transplantation; D002348:Carpal Bones / Q000293:injuries*; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery*; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D008722:Methods; D010020:Osteonecrosis / Q000601:surgery*