title: Medial femoral condyle vascularized bone grafts for scaphoid nonunions.
abstract: Free vascularized bone grafts from the medial femoral condyle provide both structural support and blood supply to promote union in the difficult subset of scaphoid nonunions complicated by humpback deformity and proximal pole avascular necrosis. These nonunions have not consistently achieved union when treated with grafts which fail to restore scaphoid geometry or vascularity. The rationale, indications, contraindications, technique and results of bone grafting scaphoid nonunions with grafts harvested from the medial femoral condyle are presented.
authors.affiliation: Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA.
authors.forename: D B
authors.initials: DB
authors.lastname: Jones
authors.forename: A Y
authors.initials: AY
authors.lastname: Shin
mesh_terms: D016025:Bone Transplantation / Q000379:methods; D005269:Femur / Q000637:transplantation*; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D021361:Scaphoid Bone / Q000293:injuries* / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply*