Concentrated autologous bone marrow injection in the surgical treatment of scaphoid non-union

New surgical techniques for the treatment of scaphoid non-union, developed in the last two decades, now enable a healing rate of 80–90%. However, no consensus exists for the surgical treatment of non-union. On the other hand, regenerative medicine techniques have enriched the therapeutic armamentari...

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Bibliographic Details
Published in:Hand surgery and rehabilitation 2024-12, p.102069, Article 102069
Main Authors: Maincourt, Pierre, Andro, Christophe, Perchoc, Arnaud, Daoulas, Thomas, Hu, Weiguo, Perruisseau-Carrier, Anne
Format: Article
Language:English
Subjects:
Bone healing
Regenerative medicine
Scaphoid non-union
Stem cells
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Summary:New surgical techniques for the treatment of scaphoid non-union, developed in the last two decades, now enable a healing rate of 80–90%. However, no consensus exists for the surgical treatment of non-union. On the other hand, regenerative medicine techniques have enriched the therapeutic armamentarium for non-union, especially in the lower limbs, with the use of autologous concentrated bone marrow injection using autologous osteogenic precursors to create a favorable microenvironment for bone healing. This technique has the advantages of being inexpensive, easily accessible and applicable in scaphoid non-union as a biological adjuvant to surgery, to improve both healing times and rates. We report 6-month clinical results for the first patient receiving autologous concentrated bone marrow injection associated to scaphoid screw fixation in our center.
ISSN:2468-1229
2468-1210
2468-1210
DOI:10.1016/j.hansur.2024.102069