52 Radiocarpal Fusion Indications Radioscapholunate (RSL) fusion for post-traumatic radiocarpal arthritis Radiolunate (RL) fusion to prevent ulnocarpal subluxation in rheumatoid arthritis (RA). Technique Remove articular cartilage and subchondral plate down…
38 Screw Fixation: Reduction and Association of the Scapholunate (RASL) Procedure Indications Subacute to chronic scapholunate (SL) dissociation Static or dynamic SL instability Irreparable scapholunate interosseous ligament (SLIL) No SL…
46 Scaphoid Excision with Capitolunate Triquetrohamate Arthrodesis Indications Radioscaphoid and midcarpal arthritis with preservation of the radiolunate joint. This pattern is typically seen in long-standing scapholunate dissociation or scaphoid nonunion….
66 Closed Reduction and Internal Fixation of Bennett’s or Rolando’s Fractures Indications Base of the thumb metacarpal fracture with displacement or joint subluxation or both (Fig. 66-1) Technique Regional anesthesia…
42 Open Reduction and Internal Fixation of Scaphocapitate Syndrome Indications Acute carpal fracture dislocations. After 2 to 3 weeks, the surgeon should consider a salvage procedure. Technique Arc of injury…
27 Ulnar Shaft Shortening Osteotomy Indications Ulnar impaction syndrome Positive ulnar variance from radius malunion (e.g., distal radius fracture) Traumatic lunotriquetral interosseous ligament tear with positive or neutral ulnar variance…
58 Scaphocapitate Fusion with Lunate Excision Indications Kienböck disease with the following: Stage IIIB disease. (See Table 58-1.) Stage IIIA disease with neutral or positive ulnar variance After unsuccessful joint…
56 Vascularized Bone Grafting for Kienböck Disease Indications Vascularized bone grafts (VBGs) can be used for revascularization in early or advanced Kienböck disease with an ulnar neutral or plus variance…
53 Total Wrist Arthrodesis Indications Post-traumatic, rheumatoid, or osteoarthritis with radiocarpal and midcarpal degeneration Bone loss or deformity due to infection or tumor Fixed wrist deformity from neurological deficit Technique…
72 Arthrodesis of Ring and Small Carpometacarpal Joints Indications Painful arthritis of the ring and small carpometacarpal (CMC) joints recalcitrant to nonoperative management, or chronic ring and small CMC joint…
