40 Open Reduction and Internal Fixation Lunate Dislocation via Combined Dorsal—Palmar Approach Indications Incomplete closed reduction, percutaneous fixation Failed closed reduction and percutaneous fixation Some authors recommend early open reduction,…
62 Madelung’s Deformity Indications Symptomatic adolescent with considerable Madelung’s deformity Technique Volar incision over the flexor carpi radialis (FCR) tendon beginning at wrist crease and extending 6 to 8 cm…
65 Ligament Reconstruction Indications Mild to moderate painful thumb carpometacarpal (CMC) joint arthritis recalcitrant to nonoperative management Also indicated for persistent instability after thumb CMC joint dislocation Technique Plan incision…
68 Thumb Carpometacarpal Joint Fusion Indications Mild to moderate painful thumb carpometacarpal (CMC) joint arthritis recalcitrant to nonoperative management. Arthritis must be limited to the trapeziometacarpal joint without involvement of…
30 Open Reduction and Internal Fixation of Scaphoid Nonunion via Palmar Approach with Distal Radial Bone Graft Indications Scaphoid fails to heal after 3 months. Radiographs show resorption of bone…
60 Closing Wedge Osteotomy of Carpus Indications Arthrogryposis with a fixed flexion and ulnar deviation deformity of the wrist Technique Dorsal transverse or semicircular incision across the midcarpal joint (Fig….
57 Capitate Shortening with Capitohamate Fusion Indications Symptomatic Kienböck disease without lunate (L) collapse (stages 0, I, or II) in a wrist with neutral or positive ulnar variance. Technique Longitudinal…
24 Distal Ulna Implant Arthroplasty Indications Chronic instability of the distal ulna after Darrach resection (see Chapter 21) Osteoarthritis or posttraumatic arthritis in patients with low activity demands Pitfall Implant…
55 Radial Shortening Indications Symptomatic Kienböck disease without lunate collapse (stages 0, I, or II) in a wrist with a positive ulnar variance Technique Palmar incision over the flexor carpi…
67 Metacarpal Osteotomy Indications Mild to moderate painful thumb carpometacarpal (CMC) joint arthritis recalcitrant to nonoperative management Technique Incision along the dorsoradial aspect of the thumb at the junction between…
