Bone graft in the treatment of nonunion of the scaphoid with necrosis of the proximal pole: a literature review☆

Severo, Antônio Lourenço; Lemos, Marcelo Barreto; Lech, Osvandré Luiz Canfield; Barreto, Danilo; Strack, Daniel Paulo; Candido, Larissa Knapp

doi:10.1016/j.rboe.2016.11.011

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Ortopedia

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

UPDATE ARTICLE • Rev. bras. ortop. 52 (06) • Nov-Dec 2017 • https://doi.org/10.1016/j.rboe.2016.11.011 copy

Bone graft in the treatment of nonunion of the scaphoid with necrosis of the proximal pole: a literature review^☆ ☆ Study conducted at the Instituto de Ortopedia e Traumatologia, Hospital do Trauma de Passo Fundo, Passo Fundo, RS, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Scaphoid fractures are the most common fractures of the carpal bones, corresponding to 60%. Of these, 10% progress to nonunion; moreover, 3% can present necrosis of the proximal pole. There are various methods of treatment using vascularized and non-vascularized bone grafts.

To evaluate and compare the rate of scaphoid consolidation with necrosis of the proximal pole using different surgical techniques.

The authors conducted a review of the literature using the following databases: PubMed and BIREME/LILACS, where 13 case series were selected (ten with use of vascularized bone grafts and three of non-vascularized bone grafts), according to inclusion and exclusion criteria.

In most cases VBGs were used, especially those based on the 1,2 intercompartmental supraretinacular artery, due to greater reproducibility in performing the surgical technique.

Keywords:
Scaphoid bone; Osteonecrosis; Fracture nonunion; Bone transplantation

Term used in research	Number of articles in PubMed	Selected PubMed articles	Number of articles in BIREME	Selected BIREME articles
Bone graft scaphoid	267	22	167	24
Non union scaphoid	273	19	182	18
Vascularized bone graft non union scaphoid	22	20	34	16
Structural bone graft non union scaphoid	10	8	6	5
Pseudoartrosis scaphoid	66	10	273	13

Author	Consolidation rate	Type of vascularized graft	Consolidation rate considering the cases of proximal pole necrosis (PPN)
Steinmann et al.²² (2002)	100%	VBG based on 1,2 ICSRA	100% (8/8)
Tsai et al.²¹ (2002)	80%	VBG based on 1,2 ICSRA	80% (4/5)
Liang et al.²² (2013)	100%	VBG based on 1,2 ICSRA	100% (11/11)
Uerpairojkit et al.²³ (2000)	100%	VBG based on 1,2 ICSRA	100% (5/5)
Straw et al.²⁴ (2002)	27%	VBG based on 1,2 ICSRA	12.5% (2/16)
Sotereanos et al.²⁵ (2006)	80%	VBG based on 1,2 ICSRA	80% (8/10)
Bertelli et al. ²⁶ (2004)	87%	VBG based on the first metacarpal artery	100% (4/4)
Ribak et al.²⁷ (2002)	89%	VBG based on 1,2 ICSRA	90.5% (19/21)
Jessu et al.²⁸ (2008)	73%	VBG based on the anterior transverse carpal artery	0% (0/2)
Jones et al.²⁸ (2008)	100%, 40%	VBG obtained from the femoral condyle VBG based on 1,2 ICSRA	40% (4/10), 100% (12/12)

Author	Consolidation rate	Type of non-vascularized graft	Consolidation rate considering the cases of proximal pole necrosis (PPN)
Matsuki et al.³⁰ (2011)	100%	Corticocancellous bone graft obtained from the iliac crest	100% (11/11)
Robbins et al.³¹ (1995)	52%	Corticocancellous bone graft obtained from the iliac crest	52% (9/17)
Ribak et al.²⁷ (2002)	72%	Corticocancellous bone graft obtained from the distal radius	68% (11/16)

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] * Corresponding authors. E-mails: antoniolsevero@gmail.com (A.L. Severo),drdanilo.cirurgiadamao@gmail.com (D. Barreto Filho).

Brasil

Brasil

Bone graft in the treatment of nonunion of the scaphoid with necrosis of the proximal pole: a literature review☆ ☆ Study conducted at the Instituto de Ortopedia e Traumatologia, Hospital do Trauma de Passo Fundo, Passo Fundo, RS, Brazil.

ABSTRACT

Bone graft in the treatment of nonunion of the scaphoid with necrosis of the proximal pole: a literature review^☆ ☆ Study conducted at the Instituto de Ortopedia e Traumatologia, Hospital do Trauma de Passo Fundo, Passo Fundo, RS, Brazil.