VASCULARIZED METACARPAL BONE GRAFT FOR SCAPHOID NON-UNION AND KIENBÖCK'S DISEASE

Masaharu Makino

doi:10.1055/s-2000-7331

Journal of Reconstructive Microsurgery, Table of Contents

J Reconstr Microsurg 2000; Volume 16(Number 4): 261-268
DOI: 10.1055/s-2000-7331

VASCULARIZED METACARPAL BONE GRAFT FOR SCAPHOID NON-UNION AND KIENBÖCK'S DISEASE

Masaharu Makino

Department of Orthopaedic Surgery, Saiseikai Niigata Daini Hospital, Niigata, Japan Materials in this paper were presented at the 42nd Annual Meeting, Japanese Society for Surgery of the Hand, May 13, 1999, Tokyo City, Japan

Abstract

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ABSTRACT

A new vascularized bone graft from the base of the second metacarpal was used to treat scaphoid non-union and Kienböck's disease. In two patients with scaphoid non-union, the procedure promoted healing, even when the proximal segment was poorly vascularized. In one patient with Kienböck's disease, the graft held stable and wrist pain was markedly reduced. Further clinical experience may establish this procedure as an option for carpal bone fractures or disease.

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