Subscribe to RSS
DOI: 10.1055/s-0040-1712514
The Use of Doppler Ultrasound to Assess the Blood Flow of Pedicled Vascularized Bone Grafting for Scaphoid Nonunions
Funding None.
Abstract
Objectives This study aims to assess the blood flow and the vascularity pattern across the newly bridged vascularized bone grafts for scaphoid nonunions using three-dimensional (3D) high frequency power Doppler ultrasonography and its role in the union.
Materials and Methods A total of 26 patients with scaphoid nonunions were operated with 1,2-intercompartmental supraretinacular artery (ICSRA) graft. CT scan and 3D high frequency power Doppler ultrasonography were performed in all patients between 12 and 18 weeks, and its results were analyzed.
Results Doppler ultrasonography confirmed the pulsatile flow and vascularity across the pedicle and vascularized bone graft incorporation into the scaphoid nonunion site.
Conclusions 3D high frequency power Doppler ultrasonography is a simple, noninvasive, nonradiation, reproducible, and well-reliable diagnostic modality in assessing the blood flow and vascularity of the bone grafts used for scaphoid nonunions.
Level of Evidence This is a Level IV study.
Publication History
Received: 11 October 2018
Accepted: 13 April 2020
Article published online:
12 June 2020
© 2020. Thieme. All rights reserved.
Thieme Medical Publishers
333 Seventh Avenue, New York, NY 10001, USA.
-
References
- 1 Chang MA, Bishop AT, Moran SL, Shin AY. The outcomes and complications of 1,2-intercompartmental supraretinacular artery pedicled vascularized bone grafting of scaphoid nonunions. J Hand Surg Am 2006; 31 (03) 387-396
- 2 Steinmann SP, Bishop AT, Berger RA. Use of the 1,2 intercompartmental supraretinacular artery as a vascularized pedicle bone graft for difficult scaphoid nonunion. J Hand Surg Am 2002; 27 (03) 391-401
- 3 Hirche C, Heffinger C, Xiong L. et al. The 1,2-intercompartmental supraretinacular artery vascularized bone graft for scaphoid nonunion: management and clinical outcome. J Hand Surg Am 2014; 39 (03) 423-429
- 4 Waitayawinyu T, Pfaeffle HJ, McCallister WV, Nemechek NM, Trumble TE. Management of scaphoid nonunions. Hand Clin 2010; 26 (01) 105-117
- 5 Gray RRL, Shin AY. Vascularized bone grafting of scaphoid nonunions. Oper Tech Sports Med 2010; 18: 155-162
- 6 Pao VS, Chang J. Scaphoid nonunion: diagnosis and treatment. Plast Reconstr Surg 2003; 112 (06) 1666-1676 , quiz 1677, discussion 1678–1679
- 7 Sun MH, Leung KS, Zheng YP. et al. Three-dimensional high frequency power Doppler ultrasonography for the assessment of microvasculature during fracture healing in a rat model. J Orthop Res 2012; 30 (01) 137-143
- 8 Augat P, Morgan EF, Lujan TJ, MacGillivray TJ, Cheung WH. Imaging techniques for the assessment of fracture repair. Injury 2014; 45 (Suppl. 02) S16-S22
- 9 Zaidemberg C, Siebert JW, Angrigiani C. A new vascularized bone graft for scaphoid nonunion. J Hand Surg Am 1991; 16 (03) 474-478
- 10 den Boer FC, Bramer JA, Patka P. et al. Quantification of fracture healing with three-dimensional computed tomography. Arch Orthop Trauma Surg 1998; 117 (6-7): 345-350
- 11 Caruso G, Lagalla R, Derchi L, Iovane A, Sanfilippo A. Monitoring of fracture calluses with color Doppler sonography. J Clin Ultrasound 2000; 28 (01) 20-27
- 12 Raines AL, Sunwoo MH, Thacker K. , et al. Angiogenesis in hyaluronan treated bone repair. Presented at the 56th Annual Meeting of the Orthopaedic Research Society, March 6–9, 2010, New Orleans, LA
- 13 Zhang G, Qin L, Hung WY. et al. Flavonoids derived from herbal Epimedium Brevicornum Maxim prevent OVX-induced osteoporosis in rats independent of its enhancement in intestinal calcium absorption. Bone 2006; 38 (06) 818-825