Proximal Scaphoid Pole Reconstruction Utilizing Ipsilateral Proximal Hamate Autograft.
Background:Fractures of the proximal pole of the scaphoid can be difficult to heal because of its limited vascular supply. Furthermore, nonunion with avascular necrosis and secondary fragmentation makes surgical reconstruction a challenging procedure.Method:We describe a technique and report the outcome of a proximal hamate autograft to treat a proximal pole scaphoid nonunion with avascular necrosis.Results:At 3.5 years post reconstruction, the patient remains asymptomatic with union of his scaphoid reconstruction without any evidence of scapholunate instability.Conclusion:Proximal hamate autograft is a useful technique for addressing proximal pole scaphoid nonunions with avascular necrosis.
Mayo Clinic, Rochester, MN, USA.
Bassem
B
Elhassan
Mayo Clinic, Rochester, MN, USA.
Mohamed
M
Noureldin
Mayo Clinic, Rochester, MN, USA.
Sanjeev
S
Kakar
D000293:Adolescent; D064592:Autografts; D001863:Bone Screws; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery*; D051225:Hamate Bone / Q000637:transplantation*; D006801:Humans; D008297:Male; D010020:Osteonecrosis / Q000000981:diagnostic imaging / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D021361:Scaphoid Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed
avascularity; ipsilateral proximal hamate autograft; nonunion; proximal scaphoid pole fracture