ISSN 2458-7834
 

Original Article 


Results of the 4-5 ECA vascularized pedicle bone grafting in avascular pseudoarthroses of the scaphoid proximal pole

Abdulkadir Sarı, Bülent Özçelik.

Abstract
Objective: The scaphoid bone is the most injured carpal bone and is the cause of severe wrist dysfunction seen in nonunion cases. The probability of avascular necrosis is very high especially in fractures of the proximal pole, due to the retrograde blood flow in the region. In these cases, vascularized pedicle bone grafts, with high rates of union, is a good alternative to the conventional techniques. In this study, we present the results of vascularized bone grafting with grafts harvested from the 4-5 extensor compartment artery (ECA) and fixation with the Herbert screw in patients with avascular pseudoarthroses of the scaphoid proximal pole.
Methods: Fifteen patients who presented to our clinic due to nonunion of the scaphoid and who were applied vascularized pedicle bone grafts harvested from the ECA between 2006 and 2015 were included in the study. The mean age of the patients was 30.1 (19-42) and all patients were male. Patients were followed up for an average period of 22.7 (18-56) months. Union in the patients were evaluated with the preoperative and postoperative wrist ranges of motion. VAS (visual analog scale) and, for functional evaluation, the Turkish version of the Quick-DASH scale were used.
Results: Union was achieved in all patients after a mean period of 8.2 (6-10) weeks. The most significant improvements after surgery were detected in the VAS and functional Quick-DASH scores. No significant improvement was observed in wrist contractures. Other than the hematoma in one patient, no complication was observed.
Conclusion: In cases of nonunion of the scaphoid proximal pole fractures accompanied by avascular necrosis, pedicle grafts from the 4-5 ECA offer high rates of union and improvement in the pain and functional scores of the patients.

Level of evidence
Level IV, therapeutic study.

Keywords : Scaphoid, proximal pole, vascularized pedicle bone graft

Key words: vascularized pedicle bone graft, extensor compartment artery, pseudoarthroses, proximal pole, scaphoid


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Abdulkadir Sarı
Articles by Bülent Özçelik
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Sarı A, Ozcelik B, . Results of the 4-5 ECA vascularized pedicle bone grafting in avascular pseudoarthroses of the scaphoid proximal pole. Hand Microsurg. 2019; 8(3): 151-159. doi:10.5455/handmicrosurg.25576


Web Style

Sarı A, Ozcelik B, . Results of the 4-5 ECA vascularized pedicle bone grafting in avascular pseudoarthroses of the scaphoid proximal pole. https://handmicrosurgeryjournal.com/?mno=25576 [Access: January 10, 2024]. doi:10.5455/handmicrosurg.25576


AMA (American Medical Association) Style

Sarı A, Ozcelik B, . Results of the 4-5 ECA vascularized pedicle bone grafting in avascular pseudoarthroses of the scaphoid proximal pole. Hand Microsurg. 2019; 8(3): 151-159. doi:10.5455/handmicrosurg.25576



Vancouver/ICMJE Style

Sarı A, Ozcelik B, . Results of the 4-5 ECA vascularized pedicle bone grafting in avascular pseudoarthroses of the scaphoid proximal pole. Hand Microsurg. (2019), [cited January 10, 2024]; 8(3): 151-159. doi:10.5455/handmicrosurg.25576



Harvard Style

Sarı, A. . ., Ozcelik, B. . . & (2019) Results of the 4-5 ECA vascularized pedicle bone grafting in avascular pseudoarthroses of the scaphoid proximal pole. Hand Microsurg, 8 (3), 151-159. doi:10.5455/handmicrosurg.25576



Turabian Style

Sarı, Abdulkadir , Bulent Ozcelik, and . 2019. Results of the 4-5 ECA vascularized pedicle bone grafting in avascular pseudoarthroses of the scaphoid proximal pole. Hand and Microsurgery, 8 (3), 151-159. doi:10.5455/handmicrosurg.25576



Chicago Style

Sarı, Abdulkadir , Bulent Ozcelik, and . "Results of the 4-5 ECA vascularized pedicle bone grafting in avascular pseudoarthroses of the scaphoid proximal pole." Hand and Microsurgery 8 (2019), 151-159. doi:10.5455/handmicrosurg.25576



MLA (The Modern Language Association) Style

Sarı, Abdulkadir , Bulent Ozcelik, and . "Results of the 4-5 ECA vascularized pedicle bone grafting in avascular pseudoarthroses of the scaphoid proximal pole." Hand and Microsurgery 8.3 (2019), 151-159. Print. doi:10.5455/handmicrosurg.25576



APA (American Psychological Association) Style

Sarı, A. . ., Ozcelik, B. . . & (2019) Results of the 4-5 ECA vascularized pedicle bone grafting in avascular pseudoarthroses of the scaphoid proximal pole. Hand and Microsurgery, 8 (3), 151-159. doi:10.5455/handmicrosurg.25576





Most Viewed Articles
Most Accessed Articles

  • Giant intramuscular lipoma of arm: A case report and review of the literature
    Muzaffer Durmus, Ahmet Demirhan Dal, Abdul Kerim Yapici, Sedat Avsar, Yalcin Bayram
    Hand Microsurg. 2014; 3(3): 87-90
    » Abstract » doi: 10.5455/handmicrosurg.173820

  • Cubital tunnel syndrome due to heterotrophic ossification caused by radial head fracture: A case report
    Seyitali Gumustas, Haci Bayram Tosun, Ismail Agir, Abuzer Uludag
    Hand Microsurg. 2014; 3(1): 24-28
    » Abstract » doi: 10.5455/handmicrosurg.1577

  • Munchausen’s syndrome or pure self-mutilation? A case of self-inflicted tendon injury
    Burak Kaya, Servet Elcin Alpat, Mehmet Sonmez, Cem Cerkez, Savas Serel
    Hand Microsurg. 2014; 3(3): 83-86
    » Abstract » doi: 10.5455/handmicrosurg.172607

  • Radial nerve grafting in high energy humeral fractures
    Yusuf Gürbüz, Tahir Sadık Sügün, Kemal Özaksar, Murat Kayalar, Tulgar Toros, İbrahim Kaplan
    Hand Microsurg. 2012; 1(2): 60-64
    » Abstract » doi: 10.2399/emd.12.58077

  • The utility of onion extract gel containing topical allantoin and heparin after surgical treatment of upper extremity burn scars
    Mehmet Ihsan Okur, Alpagan Mustafa Yildirim, Bilsev Ince
    Hand Microsurg. 2014; 3(3): 74-79
    » Abstract » doi: 10.5455/handmicrosurg.172436

  • Most Downloaded
    Top Downloaded Articles

  • Bone island and hand involvement – A short review
    Ganesh Singh Dharmshaktu, Binit Singh
    Hand Microsurg. 2018; 7(2): 93-97
    » Abstract » doi: 10.5455/handmicrosurg.258665

  • Lipofibromatous hamartoma of the digital nerve: A case report
    Emin Sir, Alper Aksoy
    Hand Microsurg. 2018; 7(1): 45-48
    » Abstract » doi: 10.5455/handmicrosurg.255406

  • Love sign’s love for glomus tumor
    Ankit Shukla, Varun Verma, Roshni Shukla, Rajesh Chaudhary, Saurab Sharma, Sajid Mohammad
    Hand Microsurg. 2018; 7(2): 105-108
    » Abstract » doi: 10.5455/handmicrosurg.279749

  • Synovial chondromatosis of the wrist
    Murat Kayalar, Abuzer Uludag, Basak Doganavsargil Yakut, Ahmet Savran
    Hand Microsurg. 2018; 7(2): 109-111
    » Abstract » doi: 10.5455/handmicrosurg.269392

  • The three bony point relationship of the elbow-Why is there still a lack of consensus?
    Supreeth Nekkanti, Dama Kondaiah Naidu, Jasmine Sebastin, Kamal Prasad, Mohan Yeshwanth, Archana Meka
    Hand Microsurg. 2018; 7(2): 79-82
    » Abstract » doi: 10.5455/handmicrosurg.291476

  • Most Cited Articles
    Most Cited Articles