Reconstruction of scaphoid non-union and total scaphoid avascular necrosis in a pediatric patient: a case report.
BACKGROUND
The medial femoral condyle vascularized bone graft has grown in popularity for treating recalcitrant fracture non-unions and has become particularly useful in treating scaphoid non-union with avascular necrosis of the proximal pole. The medial femoral condyle is an excellent source of dense, well-vascularized bone and results in minimal donor site morbidity.


METHODS
We describe an unusual case of chronic scaphoid non-union and total scaphoid avascular necrosis in a skeletally immature patient. Scaphoid reconstruction was performed with a vascularized medial femoral condyle graft, with successful graft incorporation, and restoration of pain-free wrist motion.


CONCLUSIONS
Technical considerations for harvest of the medial femoral condyle bone graft in the skeletally immature patient are discussed.
Department of Plastic Surgery, University of Texas Southwestern Medical Center at Dallas, 1801 Inwood Rd., Dallas, TX 75390 USA.
Oded
O
Ben-Amotz
Department of Orthopedic Surgery, Texas Scottish Rite Hospital for Children-Children's Medical Center of Dallas, University of Texas Southwestern Medical Center, Dallas, TX USA.
Christine
C
Ho
Department of Plastic Surgery, University of Texas Southwestern Medical Center at Dallas, 1801 Inwood Rd., Dallas, TX 75390 USA.
Douglas M
DM
Sammer