Glossary Treatment
vascularised bone graft (VBG)
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Vascularised bone graft preserves osteocyte viability and osteoinductive capacity at implantation. In scaphoid reconstruction, VBG options include the pedicled 1,2-ICSRA flap from the dorsal distal radius and free flaps from the medial femoral condyle (MFC) or trochlea (MFT). Recent meta-analyses confirm higher union rates than non-vascularised graft in proximal pole AVN and revision cases.