Long-Term Outcomes of Vascularized Trochlear Flaps for Scaphoid Proximal Pole Reconstruction. Long-Term Outcomes of Vascularized Trochlear Flaps for Scaphoid Proximal Pole Reconstruction. [Review]
Citation: Hand Clinics. 35(3):345-352, 2019 08.PMID: 31178091Institution: Curtis National Hand CenterForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Cartilage/tr [Transplantation] | *Femur/tr [Transplantation] | *Fractures, Ununited/su [Surgery] | *Scaphoid Bone/su [Surgery] | Adolescent | Adult | Anastomosis, Surgical | Autografts | Bone Screws | Female | Femur/bs [Blood Supply] | Follow-Up Studies | Fracture Fixation, Internal | Hand Strength | Humans | Male | Patient Reported Outcome Measures | Range of Motion, Articular | Scaphoid Bone/in [Injuries] | Young AdultYear: 2019Local holdings: Available online through MWHC library: 2002 - presentISSN:- 0749-0712
| Item type | Current library | Collection | Call number | Status | Date due | Barcode |
|---|---|---|---|---|---|---|
| Journal Article | MedStar Authors Catalog | Article | 31178091 | Available | 31178091 |
Available online through MWHC library: 2002 - present
Copyright (c) 2019 Elsevier Inc. All rights reserved.
Reconstruction of proximal pole scaphoid nonunion using medial femoral trochlea osteochondral free flap is indicated in young active patients for whom salvage procedures are not ideal. This article reviews the outcomes data available in the literature and provides a brief report of clinical, radiographic, and patient-reported outcomes for the subset of our patients with greater than 3 years postoperative follow-up. The present literature suggests that medial femoral trochlea reconstruction for proximal pole scaphoid nonunion can restore radiocarpal anatomy, prevent progressive carpal collapse, improve function, and relieve pain without causing wrist stiffness, weakness, or excessive donor site morbidity in the short and medium term.
English