Results of pronator quadratus pedicle bone graft as primary procedure for treatment of scaphoid nonunion
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Pedicle bone graft as primary procedure for treatment of scaphoid nonunion. Pedicle bone graft use in delayed and nonunion of fractures and avascular necrosis scaphoid fracture. The most common indications for Pedicle bone graft have been for scaphoid nonunion, lunatomalacia (Kienböck's disease), and osteonecrosis of the scaphoid (Preiser's disease). Advantages over non vascularized bone graft have been established. Pedicle bone graft provide improved blood flow, osteocyte preservation, and accelerated healing rates. Local pedicle VBGs are the most commonly used methods. They are technically less demanding than are free VBGs and are associated with less morbidity. In managing osteonecrosis, most surgeons would agree that VBG should be reserved for scaphoid nonunion with an intact cartilaginous shell and no collapse. In treating scaphoid pathology, indications for pedicle bone graft include fractures/nonunions with proximal pole avascular necrosis and/or small proximal pole fragments.
Authors and Affiliations
Dr. Manish Kumar, Dr. Rakesh Kumar, Dr. Rajesh Kumar Ranjan, Dr. Ashutosh Kumar, Dr. Farman Ali, Dr. Santosh Kumar
Keywords
Related Articles
- EP ID EP501998
- DOI 10.22271/ortho.2017.v3.i3n.149
- Views 115
- Downloads 0
Case report of non union of lateral end of clavicle fracture treated with modified weaver Dunn procedure and coracoclavicular screw fixation
A case of lateral end of clavicle non union in young patient, which was treated conservatively following trauma, treated with modified Weaver Dunn procedure, combined with fixation of coraco-clavicular interface with mal...
Scoliosis surgery, predictors and outcomes in a tertiary care hospital, Riyadh, KSA
Background: Scoliosis is a back deformity, defined as structural lateral curvature of spine more than 10° (cobb angle) with rotation. Surgical intervention has better radiographic and clinical outcomes for the patients....
Amputated ischaemic limb due to thrombo-emboli of major artery manage by Fogarty embolectomy has better prognosis than manage by LMW Heparin
Extraction of arterial emboli using the Fogarty catheter has been widely accepted technique for embolectomy but it also give better circulatory function in amputated limb and its wound healing. Case presentation: This re...
A nature friendly knee arthroplasty for prayer and meditation in Asiatic lifestyle
Introduction: India is a country where many religions coexist together. Prayer & meditation form an integral part of Indian lifestyle. Also 90% of India’s population lives in the rural areas. Medial compartment osteoarth...
Calcaneal bone density as a screening tool for osteoporosis
Introduction: Osteoporosis is a common disease in elderly associated with high morbidity and economic burden. Low bone mass is the strongest predictor of low and moderate energy fracture risk. As there are accurate as we...