Reconstruction of the proximal scaphoid with a medial femoral trochlea osteochondral graft: minimum 2-year results
The Journal of Hand Surgery Dec 04, 2020
Keating C, McCombe D, Powell CA, et al. - This study was intended to describe the clinical and radiological outcomes after medial femoral trochlear (MFT) osteochondral graft for the salvage of proximal scaphoid fractures with a minimum 2-year follow-up. Researchers conducted a retrospective review of individuals with comminuted fractures of the proximal scaphoid treated by excision of the proximal pole and replacement with free vascularized MFT osteochondral graft. They conducted 12 MFT osteochondral grafts between February 2014 and May 2015. Via MFT graft, replacement of the fragmented proximal scaphoid is an alternative to other salvage options and most patients can expect pain relief and acceptable wrist motion. Moreover, these outcomes need to be balanced against the potential for donor-site morbidity.
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