A comparison of the use of distal radius vascularised bone graft and non-vascularised iliac crest bone graft in the treatment of non-union of scaphoid fractures.
We compared two surgical techniques for the treatment of scaphoid non-union, namely, using distal radius vascularised bone graft and iliac crest non-vascularised bone graft. Eighty patients with symptomatic scaphoid non-union underwent surgical treatment, including 35 patients treated with distal radius vascularised bone graft and 45 treated by iliac crest non-vascularised bone graft. Patients were assessed objectively by examination of wrist range of motion, grip strength and radiographic findings in the postoperative period after a mean time of 2.8 (1.4) (range 1-5.2) years. Similar functional results were obtained with the two techniques. All cases of non-union in the non-vascularised group obtained consolidation in a mean time of 8.89 (2.26) months and in the vascularised group in a mean time of 7.97 (3.06) months. Three cases of consolidation failure occurred in the vascularised group and were related to technical difficulties.
Braga-Silva
J
J
Service of Hand Surgery and Reconstructive Microsurgery, Hospital São Lucas, Pontifical Catholic University of Rio Grande do Sul Porto Alegre, Brazil. jeffmao@terra.com.br
Peruchi
F M
FM
Moschen
G M
GM
Gehlen
D
D
Padoin
A V
AV
D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D015331:Cohort Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008297:Male; D008875:Middle Aged; D011859:Radiography; D011884:Radius / Q000637:transplantation; D020127:Recovery of Function; D021361:Scaphoid Bone / Q000098:blood supply* / Q000293:injuries*; D016896:Treatment Outcome; D055815:Young Adult