title: Bone Grafts for Scaphoid Nonunion: An Overview.
abstract: The scaphoid is the most common fractured bone in the wrist. Despite adequate non-surgical treatment, around 10% to 15% of these fractures will not heal. Untreated scaphoid non-union can cause a scaphoid non-union advance collapse (SNAC), this is a progressive deformity and can cause degenerative changes in the wrist. Surgery is focused on achieving consolidation, pain reduction and a good position of the scaphoid while preventing osteoarthritis in the long-term. Surgery consists of reduction and fixation of the scaphoid with a non-vascularized or vascularized bone graft. An overview of the most used vascularized and non-vascularized bone grafts and their indications are presented.
authors.affiliation: 1 Department of Plastic and Reconstructive and Hand Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
authors.forename: Steven E R
authors.initials: SE
authors.lastname: Hovius
authors.affiliation: 1 Department of Plastic and Reconstructive and Hand Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
authors.forename: Tim
authors.initials: T
authors.lastname: de Jong
mesh_terms: D016025:Bone Transplantation / Q000379:methods*; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D021361:Scaphoid Bone / Q000293:injuries / Q000601:surgery*; D014955:Wrist Joint / Q000601:surgery*
keywords: Bone grafting; Bone transplantation; Pedicled bone graft; Pseudarthrosis; Scaphoid; Scaphoid bone; Vascularized bone graft