title: A Scapholunate Ligament-Sparing Technique Utilizing the Medial Femoral Condyle Corticocancellous Free Flap to Reconstruct Scaphoid Nonunions With Proximal Pole Avascular Necrosis.
abstract: This article demonstrates a technique for the treatment of scaphoid fracture waist and proximal pole nonunions with avascular necrosis using a free vascularized medial femoral condyle flap. We present our surgical technique and representative case examples in which the scapholunate ligament, a key structure required to preserve carpal kinematics, is spared.
authors.affiliation: Department of Orthopaedic Surgery, Penn Medicine University City, Philadelphia, PA. Electronic address: nkazmers@gmail.com.
authors.forename: Nikolas H
authors.initials: NH
authors.lastname: Kazmers
authors.affiliation: Department of Orthopaedic Surgery, Penn Medicine University City, Philadelphia, PA.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Thibaudeau
authors.affiliation: Department of Orthopaedic Surgery, Penn Medicine University City, Philadelphia, PA.
authors.forename: L Scott
authors.initials: LS
authors.lastname: Levin
mesh_terms: D000328:Adult; D016025:Bone Transplantation / Q000379:methods* / Q000534:rehabilitation; D005269:Femur / Q000098:blood supply / Q000637:transplantation; D005599:Fractures, Ununited / Q000601:surgery*; D058752:Free Tissue Flaps / Q000098:blood supply; D006801:Humans; D008023:Ligaments, Articular / Q000601:surgery; D008297:Male; D010020:Osteonecrosis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods / Q000534:rehabilitation; D021361:Scaphoid Bone / Q000293:injuries / Q000601:surgery*; D055815:Young Adult
keywords: Avascular necrosis; medial genicular/geniculate femoral condyle flap; reconstruction; scaphoid nonunion