{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:41Z","timestamp":1787755601673,"version":"build-2784847793"},"reference-count":56,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>Isolated capitate fracture nonunion is an uncommon injury that rarely demonstrates concurrent osteonecrosis. The literature to help guide treatment is sparse. We present a 24-year-old woman who developed a nonunion through the capitate waist with concurrent osteonecrosis 15 months after injury. This complication was treated with internal fixation and a capsular-based distal radius vascularized bone graft (VBG) from the fourth extensor compartment artery pedicle. The patient achieved radiographic union by 15 weeks and had near complete recovery of motion and strength at the final follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case supports the use of capsular-based VBG as a technically simple and effective treatment for this rare condition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00663","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T19:00:43Z","timestamp":1771527643000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Treatment of Isolated Capitate Nonunion With Osteonecrosis Using a Capsular-Based Vascularized Bone Graft"],"prefix":"10.2106","volume":"16","author":[{"given":"Vincent R.","family":"Morrow","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, West Virginia University, Morgantown, West Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4570-2703","authenticated-orcid":false,"given":"Brody","family":"Fitzpatrick","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, West Virginia University, Morgantown, West Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0605-1469","authenticated-orcid":false,"given":"Ryan J.","family":"Blake","sequence":"additional","affiliation":[{"name":"School of Medicine, West Virginia University, Morgantown, West Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4965-4756","authenticated-orcid":false,"given":"Taylor","family":"Shackleford","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Cincinnati, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Wroblewski","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, West Virginia University, Morgantown, West Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9130-7582","authenticated-orcid":false,"given":"John S.","family":"Taras","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, West Virginia University, Morgantown, West Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"issue":"165","key":"bib1-20260219","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1097\/00003086-198205000-00032","article-title":"Capitate fractures: a long-term follow-up","author":"Rand","year":"1982","journal-title":"Clin Orthop Relat Res."},{"issue":"4","key":"bib2-20260219","doi-asserted-by":"crossref","first-page":"e0382","DOI":"10.2106\/JBJS.CC.18.00382","article-title":"Nonunion of the capitate due to delayed diagnosis of an isolated fracture: a case report","volume":"9","author":"Ochen","year":"2019","journal-title":"JBJS Case Connector."},{"issue":"4","key":"bib3-20260219","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1055\/s-0041-1732410","article-title":"Arthroscopic treatment of capitate nonunion: a new technique","volume":"11","author":"de Villeneuve Bargemon","year":"2022","journal-title":"J Wrist Surg."},{"issue":"5","key":"bib4-20260219","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1055\/s-0038-1651487","article-title":"Management of isolated capitate nonunion: a case series and literature review","volume":"7","author":"Jethanandani","year":"2018","journal-title":"J Wrist Surg."},{"issue":"5","key":"bib5-20260219","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1007\/s007760200103","article-title":"Nonunion of the isolated capitate waist fracture","volume":"7","author":"Yoshihara","year":"2002","journal-title":"J Orthop Sci."},{"key":"bib6-20260219","doi-asserted-by":"crossref","first-page":"bcr2013009031","DOI":"10.1136\/bcr-2013-009031","article-title":"Asymptomatic non-union of capitate 14 years postfracture","volume":"2013","author":"Hamed","year":"2013","journal-title":"BMJ Case Rep."},{"key":"bib7-20260219","doi-asserted-by":"crossref","first-page":"139","DOI":"10.12659\/AJCR.890127","article-title":"Nonunion of capitate due to late diagnosis in a teenager","volume":"15","author":"G\u00fcm\u00fc\u015fta\u015f","year":"2014","journal-title":"Am J Case Rep."},{"issue":"4","key":"bib8-20260219","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1016\/j.hcl.2006.07.007","article-title":"Carpal fractures excluding the scaphoid","volume":"22","author":"Vigler","year":"2006","journal-title":"Hand Clin."},{"issue":"4","key":"bib9-20260219","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/S0363-5023(83)80194-4","article-title":"The arterial anatomy of the human carpus. 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