title: Vascularized medial femoral condyle graft for management of scaphoid non-union.
abstract: The purpose of this study was to assess the results of the management of difficult scaphoid non-unions using a vascularized medial femoral condyle graft. We operated on 30 patients with necrosis of the proximal pole or with severe humpback deformity or who presented with persistent non-union despite previous surgery. Twenty-four cases in our series showed full consolidation and six cases showed persistent non-union. The free vascularized medial femoral condyle bone graft can provide not only structural support, but also a consistent and good blood supply that results in excellent rates of union. Level of evidence: IV.
authors.affiliation: Ain Shams University Hospitals Egypt, Landshut Achdorf Klinik, Munich, Germany ahmedelgammal@hotmail.de.
authors.forename: A
authors.initials: A
authors.lastname: Elgammal
authors.affiliation: Hand, Elbow and Plastic Surgery Department, Schön Klinik München Harlaching, Munich, Germany.
authors.forename: B
authors.initials: B
authors.lastname: Lukas
mesh_terms: D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005269:Femur / Q000637:transplantation*; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing; D005599:Fractures, Ununited / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D010020:Osteonecrosis / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D021361:Scaphoid Bone / Q000293:injuries*; D016896:Treatment Outcome; D055815:Young Adult
keywords: Scaphoid non-union; avascular necorsis of the scaphoid; humpback deformity; vascularized medial femoral condyle graft