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KMID : 1143020200250020090
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Archives of Hand and Microsurgery
2020 Volume.25 No. 2 p.90 ~ p.100
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Arthroscopic Bone Grafting and Kirschner-Wires Fixation for Scaphoid Nonunion
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Lee Young-Keun
Jeon Moo-Heon
Lee Ha-Song
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Abstract
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Various surgical techniques, such as corticocancellous or cancellous bone graft and other vascularized bone grafting techniques have been developed to treat scaphoid nonunion. However, open grafting with dissection of wrist capsule and ligaments damages the joint and hence can lead to increased stiffness of the wrist and hand. Arthroscopic assisted bone grafting and percutaneous fixation have advantages such as minimal surgical trauma to the scaphoid blood supply and its ligament connection and provide a thorough wrist assessment, comprehensive approach for scaphoid nonunion and its sequelae in a minimally invasive manner. This article briefly discusses the characteristic anatomy of the wrist and scaphoid, and reviews the technique of arthroscopic bone grafting and percutaneous fixation for the treatment of scaphoid nonunion.
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KEYWORD
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Scaphoid bone, Ununited fracture, Arthroscopy, Bone transplantation, Kirschner wires
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Listed journal information
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