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MR angiogram confirms sustained blood flow in 1,2 ICSR artery of vascularized bone grafting in scaphoid nonunion treatment
- Source :
- European Journal of Orthopaedic Surgery & Traumatology. 29:343-348
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- To evaluate the functioning of 1,2 intercompartmental supraretinacular artery (ICSRA) in vascularized bone grafting (VBG) of scaphoid nonunions with avascular necrosis of proximal pole. Fourteen patients with scaphoid nonunion were treated operatively with 1,2 ICSRA VBG. Viability of the pedicle artery was evaluated by MR angiography with intravenous contrast agent. In 13 out of 14 patients, the 1,2 ICSR artery was found to be patent and functional. Revascularization of scaphoid proximal pole was revealed in all cases, and nonunion healing was confirmed as well. 1,2 ICSRA VBG in scaphoid nonunion is an effective surgical technique. It combines the advantages of bone grafting and vascular supply via the transferred pedicle artery which seems to be functional postoperatively if a meticulous operative technique is used.
- Subjects :
- Adult
Male
musculoskeletal diseases
medicine.medical_specialty
medicine.medical_treatment
Scaphoid nonunion
Nonunion
Contrast Media
Avascular necrosis
Bone grafting
Revascularization
Surgical Flaps
Fractures, Bone
Young Adult
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Orthopedics and Sports Medicine
Autografts
Fracture Healing
Scaphoid Bone
030222 orthopedics
business.industry
Arteries
Blood flow
medicine.disease
Surgery
surgical procedures, operative
medicine.anatomical_structure
Vascularized bone
Fractures, Ununited
Female
030211 gastroenterology & hepatology
business
Magnetic Resonance Angiography
Follow-Up Studies
Artery
Subjects
Details
- ISSN :
- 14321068 and 16338065
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- European Journal of Orthopaedic Surgery & Traumatology
- Accession number :
- edsair.doi.dedup.....8c91ab08923af4f17421baa0aa9c4868
- Full Text :
- https://doi.org/10.1007/s00590-018-2339-z