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Ectopic bone formation after medial femoral condyle graft to scaphoid nonunion
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Hand Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Hand Surgery.
2014 (English)In: Journal of wrist surgery, ISSN 2163-3916, Vol. 3, no 1, 46-9 p.Article in journal (Refereed) Published
Abstract [en]

Free vascularized bone graft from the medial femoral condyle has been described as a superior method for treatment of recalcitrant scaphoid nonunion with proximal pole avascularity and humpback deformity. Few complications and high union rates have been reported. In a series of three patients we describe an undesired volar ossification as a potential complication of the method. The risk of developing the ectopic bone formation can be minimized if the surgeon is aware of the strong osteogenic capacity of the periosteum. Meticulous dissection of the vascular bundle to the graft is mandatory to avoid the complication. Caution is warranted so as not to leave a periosteal sleeve under the vessels at the margin of the graft.

Place, publisher, year, edition, pages
2014. Vol. 3, no 1, 46-9 p.
Keyword [sv]
Handkirurgi
National Category
Orthopedics
Research subject
Plastic Surgery
Identifiers
URN: urn:nbn:se:uu:diva-220508DOI: 10.1055/s-0033-1364092PubMedID: 24533246OAI: oai:DiVA.org:uu-220508DiVA: diva2:705410
Available from: 2014-03-17 Created: 2014-03-17 Last updated: 2014-03-19Bibliographically approved

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Vedung, TorbjörnVinnars, Bertil

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