{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T22:17:29Z","timestamp":1793830649834,"version":"4.6.1"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2019,7,9]],"date-time":"2019-07-09T00:00:00Z","timestamp":1562630400000},"content-version":"vor","delay-in-days":799,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>\n          Introduction: Scaphoid fractures are not very common and frequently remain undiagnosed, presenting in non-union and persistent wrist pain. Options for scaphoid fracture treatment have been described over several decades, however, none with an optimal solution to achieve union along with good hand function. We describe here, the use of vascularised corticoperiosteal bone grafts from the medial femoral condyle (MFC) as a solution for the difficult problem of scaphoid fracture non-union. Materials and Methods: This series has 11 patients with non-union following a scaphoid fracture treated over 18 months ranging from January 2014 to January 2016 using a vascularised corticoperiosteal graft from the MFC. Bone graft fixation was done using K-wires and anastomosis was done with the radial vessels. Results: There were no cases of flap loss. Time of union was an average 3 months. All patients had a full range of movements. Discussion: MFC is an ideal site for harvesting vascularised corticoperiosteal grafts providing a large surface of tissue supplied by a rich periosteal plexus from the descending genicular artery. No significant donor site morbidities have been reported in any series in the past. The well-defined anatomy helps in a rather simple dissection. Corticoperiosteal grafts have a high osteogenic potential and hence, this vascularised graft seems ideal for small bone non-unions. Conclusion: Thin, pliable and highly vascularised corticocancellous grafts can be obtained from the MFC as an optimal treatment option for scaphoid non-unions.<\/jats:p>","DOI":"10.4103\/ijps.ijps_62_17","type":"journal-article","created":{"date-parts":[[2017,12,28]],"date-time":"2017-12-28T07:26:51Z","timestamp":1514446011000},"page":"138-147","source":"Crossref","is-referenced-by-count":19,"title":["Medial femoral condyle vascularised corticoperiosteal graft: A suitable choice for scaphoid non-union"],"prefix":"10.1055","volume":"50","author":[{"given":"Samir","family":"Kumta","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery and Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudhir","family":"Warrier","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Hand Surgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leena","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, S. L. Raheja - Fortis Hospital and Research Centre, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rani","family":"Ummal","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery and Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manik","family":"Menezes","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, International Modern Hospital, Dubai, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shrirang","family":"Purohit","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery and Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,7,9]]},"reference":[{"key":"key-10.4103\/0970-0358.221840-1","first-page":"38","volume-title":"Free vascularized fibular grafts have a high union rate in atrophic nonunions","author":"Gonz\u00e1lez","year":"2004","journal-title":"Clin Orthop Relat Res"},{"key":"key-10.4103\/0970-0358.221840-2","first-page":"685","volume-title":"Treatment of scaphoid nonunions: Quantitative meta-analysis of the literature","author":"Merrell","year":"2002","journal-title":"J Hand Surg Am"},{"key":"key-10.4103\/0970-0358.221840-3","first-page":"504","volume-title":"The natural history of scaphoid non-union","author":"Mack","year":"1984","journal-title":"J Bone Joint Surg Am"},{"key":"key-10.4103\/0970-0358.221840-4","doi-asserted-by":"crossref","unstructured":"Jones DB Jr., B\u00fcrger H, Bishop AT, Shin AY. Treatment of scaphoid waist nonunions with an avascular proximal pole and carpal collapse. Surgical technique. J Bone Joint Surg Am 2009;91 Suppl 2:169-83.","DOI":"10.2106\/JBJS.I.00444"},{"key":"key-10.4103\/0970-0358.221840-5","first-page":"1176","volume-title":", Moran SL, Bishop AT, Shin AY.Free-vascularized medial femoral condyle bone transfer in the treatment of scaphoid nonunions","author":"Jones","year":"2010","journal-title":"Plast Reconstr Surg"},{"key":"key-10.4103\/0970-0358.221840-6","first-page":"533","volume-title":"The free vascularized bone graft.A clinical extension of microvascular techniques","author":"Taylor","year":"1975","journal-title":"Plast Reconstr Surg"},{"key":"key-10.4103\/0970-0358.221840-7","first-page":"664","volume-title":"Small free vascularized iliac crest bone grafts in reconstruction of the scaphoid bone: A retrospective study in 60 cases","author":"Harpf","year":"2001","journal-title":"Plast Reconstr Surg"},{"key":"key-10.4103\/0970-0358.221840-8","first-page":"1075","volume-title":"Vascularized bone blocks from the toe phalanx to solve complex intercalated defects in the fingers","author":"del","year":"2006","journal-title":"J Hand Surg Am"},{"key":"key-10.4103\/0970-0358.221840-9","doi-asserted-by":"crossref","unstructured":"Jones DB Jr., B\u00fcrger H, Bishop AT, Shin AY. Treatment of scaphoid waist nonunions with an avascular proximal pole and carpal collapse. A comparison of two vascularized bone grafts. 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