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J Wrist Surg 2013; 02(01): 079-082
DOI: 10.1055/s-0032-1326727
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Chronic Scaphoid Nonunion of 28-Year Duration Treated with Nonvascularized Iliac Crest Bone Graft

John T. Capo
1   Division of Hand and Microvascular Surgery, Department of Orthopaedics, UMDNJ-New Jersey Medical School, Newark, New Jersey
,
Ben Shamian
1   Division of Hand and Microvascular Surgery, Department of Orthopaedics, UMDNJ-New Jersey Medical School, Newark, New Jersey
,
Steve Rivero
1   Division of Hand and Microvascular Surgery, Department of Orthopaedics, UMDNJ-New Jersey Medical School, Newark, New Jersey
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Publication History

Publication Date:
08 February 2013 (online)

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Abstract

Scaphoid nonunions present a challenging clinical problem, particularly if the diagnosis of nonunion is missed or delayed. The optimal management technique can vary from free vascularized bone grafts to scaphoid excision and limited wrist fusion. The classic method of open reduction, nonvascularized corticocancellous bone grafting and internal fixation is still an effective technique. In this report, we describe a case of a 28-year-old chronic scaphoid nonunion treated with nonvascular iliac crest bone graft and internal fixation.

Keywords

scaphoid nonunion - chronic - bone graft - iliac crest
 

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