69 Ligament Reconstruction with Tendon Interposition Indications Moderate to severe painful thumb carpometacarpal (CMC) joint arthritis recalcitrant to nonoperative management. Considerable joint degeneration precludes metacarpal osteotomy or ligament reconstruction without…
61 Tendon Transfer for Wrist Extension Indications Wrist in a flexed posture with inadequate wrist extension due to spasticity, paresis, or paralysis. Flexor carpi ulnaris (FCU) or extensor carpi ulnaris…
54 Total Wrist Arthroplasty Indications Rheumatoid arthritis and low-demand patients with post-traumatic or osteoarthritis involving both the radiocarpal and midcarpal joints Technique A dorsal, longitudinal 10 to 12 cm skin…
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…
