Oded Ben-Amotz1, Christine Ho2, Douglas M Sammer1. 1. Department of Plastic Surgery, University of Texas Southwestern Medical Center at Dallas, 1801 Inwood Rd., Dallas, TX 75390 USA. 2. Department of Orthopedic Surgery, Texas Scottish Rite Hospital for Children-Children's Medical Center of Dallas, University of Texas Southwestern Medical Center, Dallas, TX USA.
Abstract
BACKGROUND: The medial femoral condyle vascularized bone graft has grown in popularity for treating recalcitrant fracture non-unions and has become particularly useful in treating scaphoid non-union with avascular necrosis of the proximal pole. The medial femoral condyle is an excellent source of dense, well-vascularized bone and results in minimal donor site morbidity. METHODS: We describe an unusual case of chronic scaphoid non-union and total scaphoid avascular necrosis in a skeletally immature patient. Scaphoid reconstruction was performed with a vascularized medial femoral condyle graft, with successful graft incorporation, and restoration of pain-free wrist motion. CONCLUSIONS: Technical considerations for harvest of the medial femoral condyle bone graft in the skeletally immature patient are discussed.
BACKGROUND: The medial femoral condyle vascularized bone graft has grown in popularity for treating recalcitrant fracture non-unions and has become particularly useful in treating scaphoid non-union with avascular necrosis of the proximal pole. The medial femoral condyle is an excellent source of dense, well-vascularized bone and results in minimal donor site morbidity. METHODS: We describe an unusual case of chronic scaphoid non-union and total scaphoid avascular necrosis in a skeletally immature patient. Scaphoid reconstruction was performed with a vascularized medial femoral condyle graft, with successful graft incorporation, and restoration of pain-free wrist motion. CONCLUSIONS: Technical considerations for harvest of the medial femoral condyle bone graft in the skeletally immature patient are discussed.