Cuboid nutcracker fracture in children: Management and results.

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Abstract

[Indexed for MEDLINE] 18. Clin Plast Surg. 2020 Oct;47(4):501-520. doi: 10.1016/j.cps.2020.06.005. Vascularized Small-Bone Transfers for Fracture Nonunion and Bony Defects. Deng AD(1), Innocenti M(2), Arora R(3), Gabl M(3), Tang JB(4). Author information: (1)Department of Hand Surgery, Affiliated Hospital of Nantong University, 20 West Temple Road, Nantong 226001, Jiangsu, China. (2)Plastic Surgery, University of Florence Careggi University Hospital, CTO, Largo Palagi 150139, Florence, Italy. (3)Department of Trauma Surgery and Sports Medicine, Medical University Innsbruck, Anichstrasse 35, A-6020, Innsbruck, Austria. (4)Department of Hand Surgery, Affiliated Hospital of Nantong University, 20 West Temple Road, Nantong 226001, Jiangsu, China. Electronic address: jinbotang@yahoo.com. Vascularized small-bone grafting is an efficient and often necessary surgical approach for nonunion or necrosis of several bones in particular sites of the body, including scaphoid, lunate, distal ulna, and clavicle. The medial femoral condyle is an excellent graft source that can be used in treating scaphoid, ulna, clavicle, or lower-extremity bone defects, including nonunion. Vascularized bone grafting to the small bones, particularly involving reconstruction of damaged cartilage surfaces, should enhance subchondral vascular supply and help prevent cartilage regeneration. Vascularized osteoperiosteal and corticoperiosteal flaps are useful for treating nonunion of long bones. Copyright © 2020 Elsevier Inc. All rights reserved. DOI: 10.1016/j.cps.2020.06.005