Published in:
01-09-2015
Reconstruction of scaphoid non-union and total scaphoid avascular necrosis in a pediatric patient: a case report
Authors:
Oded Ben-Amotz, Christine Ho, Douglas M. Sammer
Published in:
HAND
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Issue 3/2015
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Abstract
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.