Francisco Rodriguez-Fontan,Alexander Lauder
Francisco Rodriguez-Fontan
Distal radius fractures are common injuries. Satisfactory outcomes are typically achieved with appropriate nonoperative or operative treatment. A proportion of these injuries develop symptomatic malunions, which may be treated surgically wi...
Sofia Bougioukli,Kevin C Chung
Sofia Bougioukli
Although distal radius fractures are common injuries, nonunion is extremely rare. Nonunion has been associated with increased metaphyseal comminution, concomitant distal ulna fracture, inadequate immobilization, and patient factors. Nonunio...
Shea Ray,M Claire Manske
Shea Ray
The aim of this article is to review the evaluation and management of pediatric forearm malunions. Acceptable parameters for nonoperative management of pediatric forearm fractures are reviewed, followed by clinical and imaging workups of ma...
Forearm Nonunions-From Masquelet to Free Vascularized Bone Grafting [0.03%]
前臂假关节的治疗从Masquelet技术到骨搬运血管化骨移植
Marc J Richard,Catphuong L Vu
Marc J Richard
Forearm fractures present a unique challenge due to the anatomic relationship of the radius relative to the ulna. Associated with the complexity of the treatment for these fractures is the management of nonunion and malunion of the radius a...
Vascularized Medial Femoral Condyle Flap Reconstruction for Osseous Defects of the Hand and Wrist [0.03%]
血管化的股内侧髁皮瓣治疗手和腕骨缺损
James P Higgins
James P Higgins
Vascularized bone flaps from the descending genicular artery system are versatile and effective for the use of recalcitrant nonunions from the tubular bones of the hand to the long bones of the upper extremity. Familiarity with the vascular...
Jeremy E Raducha,Warren C Hammert
Jeremy E Raducha
Metacarpal and phalanx fractures are common injuries that can often be managed nonoperatively with satisfactory clinical outcomes. However, loss of normal finger alignment including malrotation and severe angulation as well as intra-articul...
Kalpit N Shah,Robin N Kamal
Kalpit N Shah
We examine the range of available bone graft substitutes often used in nonunion and malunion surgery of the upper extremity. Synthetic materials such as calcium sulfate, beta-calcium phosphate ceramics, hydroxyapatite, bioactive glass, and ...
Stefan Czerniecki,Mark Mishu,Ryan Schmucker
Stefan Czerniecki
The majority of phalangeal and metacarpal fractures will proceed to union when appropriately treated. However, when a nonunion does occur, it can lead to significant functional impairment for patients and societal costs. Operative intervent...
Justin C McCarty,Ryoko Hamaguchi,Kyle R Eberlin
Justin C McCarty
If untreated, scaphoid nonunions may progress to scaphoid nonunion advanced collapse in a substantial portion of cases and may require salvage procedures. Multiple different techniques have been described to address scaphoid nonunion. Vascu...
Erin A Miller,Jerry I Huang
Erin A Miller
Management of scaphoid nonunion remains challenging despite modern fixation techniques. Nonvascularized bone graft may be used to achieve union in waist and proximal pole fractures with good success rates. Technical aspects, such as adequat...