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  • Author: Bedri Karaismailoglu x
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Bedri Karaismailoglu Ayancik State Hospital, Department of Orthopaedics and Traumatology, Sinop, Turkey

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Mehmet Fatih Guven Istanbul University – Cerrahpasa, Cerrahpasa Medical Faculty, Department of Orthopaedics and Traumatology, Istanbul, Turkey

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Mert Erenler Istanbul University – Cerrahpasa, Cerrahpasa Medical Faculty, Department of Orthopaedics and Traumatology, Istanbul, Turkey

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Huseyin Botanlioglu Istanbul University – Cerrahpasa, Cerrahpasa Medical Faculty, Department of Orthopaedics and Traumatology, Istanbul, Turkey

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  • Scaphoid nonunion is a challenging situation for orthopaedic surgeons. Nonunion rate is especially high in proximal pole fractures of the scaphoid due to tenuous retrograde blood supply.

  • The use of pedicled vascularized bone grafts for the treatment of scaphoid nonunion provides both good clinical and radiological outcomes.

  • The preserved vascularity of the graft leads to better bone remodelling, less osteopenia, faster incorporation and better maintenance of bone mass compared to the conventional non-vascularized grafting.

  • Pedicled vascularized bone grafts also allow the correction of the carpal alignment and humpback deformity of the scaphoid.

  • Clinical and radiological results have been satisfactory and promising, making us anticipate that the role of vascularized bone grafting for the treatment of carpal diseases will increase.

Cite this article: EFORT Open Rev 2020;5:1-8. DOI: 10.1302/2058-5241.5.190021

Article Type:
Review Article
Category:
Hand & Wrist
DOI:
https://doi.org/10.1302/2058-5241.5.190021
Volume/Issue:
Volume 5: Issue 1
Open access
Nuri Aydin Istanbul University - Cerrahpasa, Cerrahpasa Medical Faculty, Orthopaedics and Traumatology Department, Istanbul, Turkey

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Mahmut Enes Kayaalp Istanbul University - Cerrahpasa, Cerrahpasa Medical Faculty, Orthopaedics and Traumatology Department, Istanbul, Turkey

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Mustafa Asansu Baltalimani Bone Diseases Training and Research Hospital, Orthopaedics and Traumatology Department, Istanbul, Turkey

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Bedri Karaismailoglu Istanbul University - Cerrahpasa, Cerrahpasa Medical Faculty, Orthopaedics and Traumatology Department, Istanbul, Turkey

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  • Posterior dislocations are rare and diagnostically difficult injuries. Diagnosis is often delayed and this leads to a locked posteriorly dislocated humeral head.

  • Treatment options include conservative methods and surgical anatomic reconstruction options as well as non-anatomic surgical procedures such as subscapularis tendon transfer, hemiarthroplasty and total shoulder arthroplasty.

  • Decision-making for treatment as well as prognosis depend on the extent of the articular defect size of the humeral head, duration of the dislocation and patient-specific conditions such as age and activity levels.

Cite this article: EFORT Open Rev 2019;4:194-200. DOI: 10.1302/2058-5241.4.180043

Article Type:
Review Article
Category:
Shoulder & Elbow
DOI:
https://doi.org/10.1302/2058-5241.4.180043
Volume/Issue:
Volume 4: Issue 5
Open access