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Fig. 1 | BMC Musculoskeletal Disorders

Fig. 1

From: Comparison of corticocancellous bone graft from the anterolateral metaphysis of the distal radius versus iliac crest for the treatment of unstable scaphoid nonunion with humpback deformity

Fig. 1

Corticocancellous bone graft from the anterolateral metaphysis of the distal radius (DR) and fixation of unstable scaphoid (Sc) nonunion. A and B) Posteroanterior and lateral preoperative radiographs of a 48-year-old man with unstable Sc nonunion (scapholunate angle [SLA, between 2 straight lines], 96°; radiolunate angle [RLA, between 2 dotted lines], 20°). C) Sagittal computed tomography scan showing humpback deformity of the Sc (intrascaphoid angle 89°). D, E) A wedge-shaped graft measuring 1 cm long and 0.6 cm wide obtained from the anterolateral metaphysis of the DR. F) The gap is filled with a wedge-shaped corticocancellous graft (arrow). G, H) Postoperative radiographs (SLA, 55°; RLA, 8°). Scaphoid union and deformity correction are confirmed by radiography. At 1 year postoperatively, the scaphoid has healed, and the donor site appears fully remodeled

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