title: Simplified scaphoid reconstruction technique with Zaidemberg's vascularized radial graft.
abstract: For more than 10 years, we have been using a simplified reconstruction technique for scaphoid non-unions that involves the use of a graft first described by Zaidemberg et al. [1]. This approach requires that an island bone graft harvested from the radial styloid and pedicled on the 1,2-intercompartmental supraretinacular artery be embedded into the site of the non-union. The objective of our technical modifications was to simplify the harvesting and handling of the graft and the internal fixation. This technique is only used for cases of scaphoid non-union with avascular changes in the proximal fragment, repeated non-union after bone grafting and internal fixation, chronic non-union with osteophyte formation in the dorso-radial aspect and fracture secondary to Preiser disease.
authors.affiliation: Centre de main, village santé Angers-Loire, 47, rue de Foucaudière, 49800 Trelaze, France. saintcast@centredelamain.fr
authors.forename: Y
authors.initials: Y
authors.lastname: Saint Cast
authors.forename: B
authors.initials: B
authors.lastname: Césari
authors.forename: G
authors.initials: G
authors.lastname: Dagregorio
authors.forename: M
authors.initials: M
authors.lastname: Le Bourg
authors.forename: A
authors.initials: A
authors.lastname: Gazarian
authors.forename: G
authors.initials: G
authors.lastname: Raimbeau
authors.forename: P-A
authors.initials: PA
authors.lastname: Fouque
authors.forename: F
authors.initials: F
authors.lastname: Rabarin
authors.forename: J
authors.initials: J
authors.lastname: Jeudy
authors.forename: F
authors.initials: F
authors.lastname: Mallard
mesh_terms: D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011884:Radius / Q000098:blood supply / Q000637:transplantation*; D021361:Scaphoid Bone / Q000293:injuries / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply; D016896:Treatment Outcome