Long-Term Outcomes of Vascularized Trochlear Flaps for Scaphoid Proximal Pole Reconstruction

Mitchell A. Pet, James Patrick Higgins

Research output: Contribution to journalReview article

Abstract

Reconstruction of proximal pole scaphoid nonunion using medial femoral trochlea osteochondral free flap is indicated in young active patients for whom salvage procedures are not ideal. This article reviews the outcomes data available in the literature and provides a brief report of clinical, radiographic, and patient-reported outcomes for the subset of our patients with greater than 3 years postoperative follow-up. The present literature suggests that medial femoral trochlea reconstruction for proximal pole scaphoid nonunion can restore radiocarpal anatomy, prevent progressive carpal collapse, improve function, and relieve pain without causing wrist stiffness, weakness, or excessive donor site morbidity in the short and medium term.

Original languageEnglish (US)
JournalHand clinics
DOIs
StatePublished - Jan 1 2019

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Keywords

  • Medial femoral trochlea
  • Osteochondral free flap
  • Patient-reported outcomes
  • Proximal pole scaphoid nonunion
  • Vascularized cartilage transfer

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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