In scaphoid non-union, does the source of graft affect outcome? Iliac crest versus distal end of radius bone graft

J Hand Surg Br. 2006 Feb;31(1):47-51. doi: 10.1016/j.jhsb.2005.07.008. Epub 2005 Sep 6.

Abstract

Iliac crest bone grafts are sometimes preferred to other bone grafts for the treatment of non-unions of fractures of the scaphoid as they are claimed to have better osteogenic potential and biomechanical properties. We retrospectively studied a consecutive cohort of 68 symptomatic established scaphoid non-unions treated by bone grafting. An iliac crest graft was used in 44 cases and a distal radius graft in the other 24. The two treatment groups were comparable in terms of location of the fracture, duration of the non-union and the fixation implants used. Overall union was achieved in 45 of the 68 patients (66%) and the union rate was not influenced by the type of bone graft used. Twenty-nine of the 44 treated with iliac crest bone graft (66%) and 16 of the 24 (67%) treated with distal radial graft united. Donor site pain over the iliac crest was present in nine of the 44 patients in this group.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Bone Screws
  • Bone Transplantation / methods*
  • Bone Wires
  • Follow-Up Studies
  • Fracture Fixation, Internal
  • Fracture Healing
  • Fractures, Ununited / surgery*
  • Humans
  • Ilium / transplantation*
  • Middle Aged
  • Radius / transplantation*
  • Retrospective Studies
  • Scaphoid Bone / injuries
  • Scaphoid Bone / surgery*