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European Journal of Orthopaedic Surgery & Traumatology

Erschienen in:

15.11.2018 | Original Article • WRIST - MICROSURGERY

MR angiogram confirms sustained blood flow in 1,2 ICSR artery of vascularized bone grafting in scaphoid nonunion treatment

verfasst von: Ioannis K. Antoniou, Efstratios D. Athanaselis, Christos Rountas, Antonios Koutalos, Zoe Dailiana, Konstantinos N. Malizos, Sokratis E. Varitimidis

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 2/2019

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Abstract

Purpose

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.

Materials and methods

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.

Results

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.

Conclusion

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.

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Titel: MR angiogram confirms sustained blood flow in 1,2 ICSR artery of vascularized bone grafting in scaphoid nonunion treatment
verfasst von: Ioannis K. Antoniou
Efstratios D. Athanaselis
Christos Rountas
Antonios Koutalos
Zoe Dailiana
Konstantinos N. Malizos
Sokratis E. Varitimidis
Publikationsdatum: 15.11.2018
Verlag: Springer Paris
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 2/2019
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-018-2339-z

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Purpose

Materials and methods

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