Dorsal Vascularized Grafting for Scaphoid Nonunion: A Comparison of Two Surgical Techniques

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dc.contributor.author Caporrino, Fabio A. [UNIFESP]
dc.contributor.author Dos Santos, Joao Baptista G. [UNIFESP]
dc.contributor.author Penteado, Fernando T. [UNIFESP]
dc.contributor.author Moraes, Vinicius Y. de [UNIFESP]
dc.contributor.author Belloti, Joao Carlos [UNIFESP]
dc.contributor.author Faloppa, Flavio [UNIFESP]
dc.date.accessioned 2016-01-24T14:35:24Z
dc.date.available 2016-01-24T14:35:24Z
dc.date.issued 2014-03-01
dc.identifier http://dx.doi.org/10.1097/BOT.0b013e3182a4a91a
dc.identifier.citation Journal of Orthopaedic Trauma. Philadelphia: Lippincott Williams & Wilkins, v. 28, n. 3, p. E44-E48, 2014.
dc.identifier.issn 0890-5339
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/37514
dc.description.abstract Objectives:To compare the radiographic and functional outcomes of 2 surgical techniques for treating scaphoid nonunion.Design:Randomized prospective study.Patients/Participants:Researchers assessed the outcomes every 2 weeks until bone healing and at discharge.Interventions:(1) Vascularized bone grafting (VBG) using the 1, 2 intercompartmental suprareticular artery and (2) a distal radius nonvascularized bone graft.Main Outcomes/Interventions:Time to union (primary), union rate, and functional outcomes.Results:Seventy-five patients were followed for 29 months; 2 were lost to final follow-up. Both groups had similar baseline characteristics. the VBG group reached bone union earlier by 12 days (P = 0.002), but union rates were similar (P = 0.312). There was also less ulnar deviation in the VBG group (P = 0.03). There were no other differences between either intervention groups.Conclusions:Although the VBG group attained earlier union, this may not be clinically meaningful, nor justify the greater technical difficulty and use of resources associated with this intervention.Level of Evidence:Therapeutic Level II. See instructions for authors for a complete description of levels of evidence. en
dc.format.extent E44-E48
dc.language.iso eng
dc.publisher Lippincott Williams & Wilkins
dc.relation.ispartof Journal of Orthopaedic Trauma
dc.rights Acesso restrito
dc.subject scaphoid bone en
dc.subject fracture en
dc.subject nonunion en
dc.subject randomized controlled trial en
dc.subject bone transplantation en
dc.subject pseudarthrosis en
dc.subject prospective studies en
dc.subject consort en
dc.title Dorsal Vascularized Grafting for Scaphoid Nonunion: A Comparison of Two Surgical Techniques en
dc.type Artigo
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Universidade Federal de São Paulo, Disciplina Cirurgia Mao & Membro Super, Escola Paulista Med, São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Disciplina Cirurgia Mao & Membro Super, Escola Paulista Med, São Paulo, Brazil
dc.identifier.doi 10.1097/BOT.0b013e3182a4a91a
dc.description.source Web of Science
dc.identifier.wos WOS:000335324900001



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