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…
48 Scaphotrapeziotrapezoid Joint Fusion Indications Long-standing scaphotrapeziotrapezoid (STT) arthritis recalcitrant to nonoperative treatment Technique Dorsoradial incision that begins at Lister’s tubercle, traverses the anatomical snuffbox, and ends at the STT…
59 Fractional Lengthening Indications Spastic, flexed fingers with inadequate finger extension and the inability to release objects. This spasticity is usually associated with cerebral palsy or traumatic brain injury. Technique…
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…
