{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T23:58:17Z","timestamp":1787097497688,"version":"build-2736575974"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Purpose\u2003Fragmented fractures of the proximal pole of the scaphoid that cannot be internally fixed may be salvaged by four-corner arthrodesis or proximal row carpectomy. Replacement of the proximal scaphoid with costal-osteochondral graft (COG) or the medial femoral trochlea (MFT) graft are two alternative solutions for this clinical presentation. The purpose of this study was to compare the clinical and radiographic results of the COG and the MFT graft with a minimum 2-year follow-up from a single centre.<\/jats:p><jats:p>\n          Methods\u2003A retrospective study was performed to investigate the outcome of COG and MFT with a minimum 2 year follow up. Demographic data and clinical assessment including wrist range of motion and grip strength measurements and Oxford Knee score were collected. Patients completed the outcome measures of Disabilities of Arm, Shoulder, and Hand (DASH), the Patient-Rated Wrist Evaluation (PRWE), and a ten-point visual analogue score for pain (VAS). Radiological examination was performed on all wrists at follow-up.<\/jats:p><jats:p>\n          Results\u2003The visual analogue score, DASH and PRWE were similar between the two groups. There was radiographic evidence of arthritis between the radial styloid and distal scaphoid in all patients that underwent COG but no evidence in those that underwent MFT graft reconstruction. There were different complications in each group. Thirty percent of patients that underwent MFT reconstruction had persistent knee pain at follow up.<\/jats:p><jats:p>\n          Conclusion\u2003Though there are notable differences in the follow-up period, patients undergoing MFT risk developing knee pain, while those undergoing COG risk radiographic progression of wrist arthritis.<\/jats:p><jats:p>\n          Level of Evidence\u2003III \u2013 Comparative study.<\/jats:p>","DOI":"10.1055\/s-0043-1777734","type":"journal-article","created":{"date-parts":[[2023,12,22]],"date-time":"2023-12-22T23:40:28Z","timestamp":1703288428000},"page":"346-351","source":"Crossref","is-referenced-by-count":2,"title":["A Comparison of Rib Osteochondral Graft to Medial Femoral Trochlear Osteocartilaginous Graft for the Salvage of the Fragmented Scaphoid Proximal Pole: A Single-Center Experience with Minimum 2-Year Follow-Up"],"prefix":"10.1055","volume":"13","author":[{"given":"Stephen","family":"Butler","sequence":"additional","affiliation":[{"name":"Victorian Hand Surgery Associates, Fitzroy, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Galbraith","sequence":"additional","affiliation":[{"name":"Hand Unit, Dandenong Hospital, Dandenong, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugene T. H.","family":"Ek","sequence":"additional","affiliation":[{"name":"Hand Unit, Dandenong Hospital, Dandenong, Australia"},{"name":"Hand and Wrist Biomechanics Laboratory, O'Brien Institute at St. Vincent's Institute, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Berger","sequence":"additional","affiliation":[{"name":"Victorian Hand Surgery Associates, Fitzroy, Australia"},{"name":"Department Plastic, Reconstructive and Hand Surgery, St.Vincent's Hospital, Fitzroy, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"McCombe","sequence":"additional","affiliation":[{"name":"Victorian Hand Surgery Associates, Fitzroy, Australia"},{"name":"Hand and Wrist Biomechanics Laboratory, O'Brien Institute at St. Vincent's Institute, Melbourne, Australia"},{"name":"Department Plastic, Reconstructive and Hand Surgery, St.Vincent's Hospital, Fitzroy, Australia"},{"name":"Department of Paediatrics, University of Melbourne, Royal Children's Hospital, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3545-2544","authenticated-orcid":false,"given":"Stephen K.","family":"Tham","sequence":"additional","affiliation":[{"name":"Victorian Hand Surgery Associates, Fitzroy, Australia"},{"name":"Hand Unit, Dandenong Hospital, Dandenong, Australia"},{"name":"Hand and Wrist Biomechanics Laboratory, O'Brien Institute at St. Vincent's Institute, Melbourne, Australia"},{"name":"Department Plastic, Reconstructive and Hand Surgery, St.Vincent's Hospital, Fitzroy, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,12,22]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1016\/S0363-5023(87)80198-3","article-title":"Degenerative change in symptomatic scaphoid nonunion","volume":"12","author":"M I 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