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Treatment of Scaphoid Nonunion Using the Free Corticocancellous Lateral Femoral Condyle Bone Flap

  • Lucian P. JigaEmail author
  • Katarzyna Skibinska
Living reference work entry
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Abstract

Without treatment, scaphoid nonunions evolve toward carpal collapse and progressive degenerative changes known as scaphoid nonunion advanced collapse (SNAC). Debridement of devitalized bone followed by reconstruction with either non-vascularized or pedicled bone represents proven methods to achieve bone healing. The presence of significant bone gaps, however, demands vascularized bone transfer to attain healing. Local pedicled flaps from the distal radius although proven useful, provide limited amount of bone substance and rely on retrograde circulation. Vascularized bone flaps from the femoral condyles can provide significant amount of bone and can be harvested both as corticocancellous (with or without cartilage) and corticoperiosteal constructs. Here we present a patient with scaphoid nonunion, where a free lateral femoral condyle corticocancellous flap was successfully used for scaphoid reconstruction. Three months postoperatively, complete scaphoid healing allowed the patient to return to his normal life, pain-free, and with a normal-functioning wrist.

Keywords

Wrist reconstruction Scaphoid nonunion Vascularized bond transfer Lateral femoral condyle 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department for Plastic, Aesthetic, Reconstructive and Hand Surgery, Evangelisches Krankenhaus, Medical CampusUniversity of OldenburgOldenburgGermany
  2. 2.Department for Plastic, Aesthetic, Reconstructive and Hand Surgery, Evangelisches Krankenhaus, Medical CampusUniversity of OldenburgOldenburgGermany

Section editors and affiliations

  • Lucian Petru Jiga
    • 1
  1. 1.Dept Plastic & Reconstructive Surgery, Hand SurgeryEvangelishes Krankenhaus OldenburgBad ZwischenahnGermany

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