Enxerto ósseo no tratamento da n?o consolida??o do escafoide com necrose do polo proximal: revis?o da literatura

摘要

Introduction Scaphoid fractures are the most common fractures of the carpal bones, corresponding to 60%. Of these, 10% progress to nonunion; moreover, 3% can present necrosis of the proximal pole. There are various methods of treatment using vascularized (VBG) and non‐vascularized bone grafts (NVBG). Objective To evaluate and compare the rate of scaphoid consolidation with necrosis of the proximal pole using different surgical techniques. Materials and Methods The authors conducted a review of the literature using the following databases: PubMed and BIREME/LILACS, where 13 case series were selected (ten with use of VBG and three of NVBG), according to inclusion and exclusion criteria. Conclusion In most cases VBGs were used, especially those based on the 1,2 intercompartmental supraretinacular artery, due to greater reproducibility in performing the surgical technique.