Proximal Scaphoid Pole Reconstruction Utilizing Ipsilateral Proximal Hamate Autograft
Bassem Elhassan, Mohamed Noureldin, Sanjeev Kakar, Bassem Elhassan, Mohamed Noureldin, Sanjeev Kakar
Abstract
Background: Fractures of the proximal pole of the scaphoid can be difficult to heal because of its limited vascular supply. Furthermore, nonunion with avascular necrosis and secondary fragmentation makes surgical reconstruction a challenging procedure. Method: We describe a technique and report the outcome of a proximal hamate autograft to treat a proximal pole scaphoid nonunion with avascular necrosis. Results: At 3.5 years post reconstruction, the patient remains asymptomatic with union of his scaphoid reconstruction without any evidence of scapholunate instability. Conclusion: Proximal hamate autograft is a useful technique for addressing proximal pole scaphoid nonunions with avascular necrosis.
Keywords: avascularity; ipsilateral proximal hamate autograft; nonunion; proximal scaphoid pole fracture.
Conflict of interest statement
The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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Source: PubMed