Techniques in hand & upper extremity surgery
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Tech Hand Up Extrem Surg · Sep 2010
Scaphoid hemiresection and arthrodesis of the radiocarpal joint.
Radiocarpal arthritis is frequently the result of trauma and/or degenerative disease. The leading causes are malunited or nonunited fractures of the radius or scaphoid, radiocarpal or intercarpal dislocations or dissociations, or a form of primary osteoarthritis or inflammatory arthritis. Management focuses on reducing pain, increasing function, and preserving some degree of motion when possible. ⋯ The choice of the procedure depends on which articulation(s) are diseased and which are spared. Motion-sparing procedures require healthy articular cartilage at the site of preserved motion. This paper described scaphoid hemiresection and arthrodesis of the radiocarpal joint, the SHARC procedure.
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Tech Hand Up Extrem Surg · Sep 2010
Radial column and volar plating (RCVP) for distal radius fractures with a radial styloid component or severe comminution.
Individual fracture patterns demand specific and adequate fixation. Locked volar plating has become popular in the operative fixation of distal radius fractures. ⋯ The use of locked radial column plates or Kirschner (K) wires provides additional radial column fixation and allows the surgeon to tailor the amount of fixation to the individual fracture pattern. Outlined here is the technique of combining volar plating with locked radial column plating or K-wire fixation, as well as a step-by-step outline to help achieve fracture reduction.