TY - JOUR
T1 - Pedicled vascularized bone grafts for scaphoid and lunate reconstruction
AU - Payatakes, Alexander
AU - Sotereanos, Dean G.
PY - 2009/12
Y1 - 2009/12
N2 - Conventional bone grafts have some osteogenic potential, whereas vascularized bone grafts retain live, functional osteocytes and osteoblasts. High rates of scaphoid union have been achieved with conventional bone grafting in the absence of osteonecrosis or prior surgery. Vascularized bone grafting is valuable in the management of wrist disorders with compromised bone vascularity (eg, scaphoid nonunion with proximal pole necrosis, Preiser disease, Kienböck disease) or when previous grafting has failed. Improved understanding of the vascular anatomy of the wrist has allowed the use of an array of vascularized bone grafts that do not require microsurgical anastomosis. Successful outcome depends on careful patient selection and appropriate surgical technique.
AB - Conventional bone grafts have some osteogenic potential, whereas vascularized bone grafts retain live, functional osteocytes and osteoblasts. High rates of scaphoid union have been achieved with conventional bone grafting in the absence of osteonecrosis or prior surgery. Vascularized bone grafting is valuable in the management of wrist disorders with compromised bone vascularity (eg, scaphoid nonunion with proximal pole necrosis, Preiser disease, Kienböck disease) or when previous grafting has failed. Improved understanding of the vascular anatomy of the wrist has allowed the use of an array of vascularized bone grafts that do not require microsurgical anastomosis. Successful outcome depends on careful patient selection and appropriate surgical technique.
UR - http://www.scopus.com/inward/record.url?scp=73949148963&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=73949148963&partnerID=8YFLogxK
U2 - 10.5435/00124635-200912000-00003
DO - 10.5435/00124635-200912000-00003
M3 - Review article
C2 - 19948699
AN - SCOPUS:73949148963
SN - 1067-151X
VL - 17
SP - 744
EP - 755
JO - Journal of the American Academy of Orthopaedic Surgeons
JF - Journal of the American Academy of Orthopaedic Surgeons
IS - 12
ER -