Volar Carpal Artery Pedicled Bone Graft for Recalcitrant Scaphoid Nonunions

Description

This video transcription outlines a detailed medical case discussion and procedural narration for the surgical management of a scaphoid fracture in a 16-year-old male. It begins with the indications and contraindications for using a vascularized bone graft, particularly in cases of scaphoid nonunion, emphasizing the patient's history of wrist pain following an injurious incident. During surgery, the orthopedic surgeon describes the approach utilized, including making a hockey stick incision, accessing the relevant anatomical structures (like the flexor carpi radialis and median nerve), and performing the necessary steps to repair the scaphoid. The transcription includes specifics on the surgical technique, such as the release of ligaments, assembly of grafts from cancellous autograft and vascularized bone from the radius, and the stabilization of the scaphoid with a volar plate. Throughout the process, the importance of maintaining proper vascularization is highlighted, and the surgeon remarks on postoperative observations, including the patient's recovery and imaging follow-ups, leading to a positive prognosis, indicating successful surgical intervention.

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