Vascularized bone graft in Herbert type D scaphoid fractures

Abstract

Introduction: Scaphoid fractures are very notorious to unite. These fractures are usually undiagnosed or overlooked, thus presenting late as non-union. Non-Union Scaphoid is a common complication of Scaphoid fracture which is quite challenging to treat. Casts or Closed reductions or even open reduction with simple bone grafts are generally not enough, so we did pronator quadratus osteomuscular transposition flap to revascularise the non-union Scaphoid. A series of 7 cases treated using vascularized bone graft. Material and Methods: This study was done on seven cases of non-union Scaphoid with Pronator Quadratus vascularized bone graft. Alnot classification and Herbert classification was use. Postoperatively cases were assessed clinically and radiologically. Results: Six out of total 7 cases had satisfactory clinical outcome and 1 case complained of restricted and painful wrist movements. Conclusion: Vascularized bone grafts have excellent results in otherwise difficult to treat non union Scaphoid.