Vascularized Bone Autoplasty with Graft from Medial Femoral Epicondyle in Scaphoid Pseudarthrosis


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Abstract

Nineteen patients (16 - 49 years) with scaphoid pseudarthrosis were treated using vascularized bone autograft from medial femoral epicondyle. Mean term since scaphoid fracture made up 30.5 ± 21.2 months. In all cases avascular necrosis of the proximal fragment, scaphoid humpbach deformity and dorsal intercalated segment instability (DISI) were present. In 16 (84.2%) consolidation in the zone of scaphoid pseudarthrosis was achieved at terms from 8 to 12 weeks after operation. In 3 (15.8%) unsatisfactory results were observed. Average scapholunate angle correction made up 13°. Average force of feast and pinch grasps increased on the average by 2.5 and 1.5 times, respectively. One year after surgery the average estimation by DASH scale decreased by 9.6 points at average, from 27 to 13.4 points.

About the authors

I. O Golubev

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

доктор мед. наук, рук. отделения микрохирургии и травмы кисти ЦИТО

R. V Yulov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

Email: yulov_ruslan@mail.ru
аспирант отделения микрохирургии и травмы кисти ЦИТО; Тел.: 8 (495) 450-09-26 127299, Москва, ул. Приорова, д. 10

O. M Bushuev

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

кандидат мед. наук, старший науч. сотр. отделения микрохирургии и травмы кисти ЦИТО

M. V Merkulov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

кандидат мед. наук, старший науч. сотр. отделения микрохирургии и травмы кисти ЦИТО

I. A Kutepov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

канд. мед. наук, врач отделения микрохирургии и травмы кисти ЦИТО

A. A Maksimov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

врач отделения микрохирургии и травмы кисти ЦИТО

V. M Grishin

Peoples’ Friendship University of Russia, Moscow, Russia

аспирант кафедры травматологии и ортопедии медицинского факультета РУДН

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