Wrist Surgery: Tricks of the Trade

"How to" guide to 72 surgical procedures for managing wrist problems caused by trauma, arthritis, and congenital differences frequently encountered in clinical practice. All the readers will learn how to stabilize distal radius fractures, repair cartilage tears, as well as how to manage Keinbock's disease and numerous problems secondary to arthritis. The authors review the indications, the variety of techniques, and alternatives available to manage each disorder, enabling you to choose the best treatment for each patient's particular condition. Highlights: Coverage of operative techniques for percutaneous scaphoid fixation, total wrist arthroplasty, limited and total wrist arthrodesis, Madelung's wrist reconstruction and more More than 350 quality illustrations provide visual aid to surgical technique, ideal for review in preparation for a procedure Review of indications, technique, post-operative care, and alternative techniques in easy-to-digest bulleted text An invaluable reference for practicing hand surgeons and orthopedists, this text will also be appreciated by residents, particularly those on hand surgery rotations.

Table of Contents:
Distal Radius Fractures (MEB) 1. Closed reduction and percutaneous pin fixation 2. Limited open reduction and internal fixation with bone graft through dorsal approach with application of external fixator. 3. Open reduction with dorsal plate fixation and bone graft. 4. Open reduction with palmar fixed-angle blade plate 5. Open reduction with wireforms and blade plate. 6. Palmar plate fixation for palmar fracture/subluxation. 7. Dorsal and palmar plates, pin fixation and external fixation 8. Galeazzi fracture: ORIF of radius with CRIF of DRUJ Distal Radial Malunion and Non-union (MEB) 9. Dorsal malunion(angulation deformity): opening wedge dorsal osteotomy, plate and ICBG. 10. Dorsal malunion (angulation and shortening): bicortical osteotomy with triplane correction using ICBG and plate 11. Palmar malunion: osteotomy and palmer plate 12. Non-union: dorsal plate and cancellous graft Distal Ulna Fracture 13. Styloid fracture: pins and tension band wiring 14. Head fracture: plate fixation 15. Neck fracture: plate fixation Distal Ulna Non-union 16. Styloid non-union: excision with repair TFCC 17. Neck non-union: Dual plating with ICBG Distal Radioulnar Joint Unstable distal ulna, Head Intact 18. Peripheral tear of the TFCC: Open repair 19. Peripheral tear of the TFCC: Arthroscopic repair 20. Ligament reconstruction for chronic instability of the distal ulna Arthritis 21. Sauve-Kapandji procedure 22. Hemiresection of the distal ulna 23. Darrach resection Unstable distal ulna, Post Darrach 24. Split ECU stabilization 25. FCU-ECU stabilization 26. Distal ulna prosthesis Ulnocarpal Abuttment 27. Arthroscopic wafer 28. Open wafer 29. Ulnar-shortening Wrist Joint Scaphoid Fracture 30. Percutaneous screw fixation 31. ORIF of displaced fracture; dorsal approach Scaphoid Non-Union 32. ORIF of waist non-union,palmar approach with distal radial bone graft 33. ORIF of proximal pole non-union with vascularized bone graft Non-union Hook of Hamate 34. Excision hamate hook Scapholunate Ligament Injuries 35. Open repair 36. Arthroscopy and percutaneous pin fixation 37. Dorsal capsulodesis; DIC 38. Blatt Procedure 39. FCR reconstruction; Brunelli 40. Bone ligament bone 41. Screw Fixation Carpal Fracture-Dislocation 42. ORIF perilunate dislocation via dorsal approach 43. ORIF lunate dislocation via combined dorsal-palmar approach 44. ORIF transcaphoid perilunate fracture dislocation 45. ORIF Scaphocapitate syndrome Arthritis Due to Scapholunate Advanced Collapse and Scaphoid Non-union Advanced Collapse 46. Wrist Denervation 47. Radial Styloidectomy 48. Proximal Row Carpectomy 49. Scaphoid excision with CLTH Fusion 50. Excision distal pole of scaphoid Scaphotrapezial trapezoid Arthritis 51. STT fusion 52. Distal scaphoid resection Rheumatoid and Post-traumatic Arthritis 53. Wrist synovectomy; arthroscopic 54. ECRL to ECU transfer 55. Radiolunate and radioscapholunate fusion 56. Complete wrist fusion 57. Total wrist implant arthroplasty Kienbock s 58. Radial shortening 59. Vascularized bone graft 60. Capitate Shortening with capitohamate fusion 61. Scaphocapitate fusion with lunate excision Pediatric Wrist (Kozin) 62. Fractional lengthening 63. Closing wedge osteotomy of carpus 64. Tendon transfer 65. Madelung s (Kozin) Ganglions 66. Excision of dorsal wrist ganglion 67. Excision of palmar wrist ganglion CMC JOINT Thumb CMC Joint Injuries 68. Ligament stabilization for CMC dislocation 69. Bennett s/Rolando fracture Thumb CMC Arthritis 70. Metacarpal Osteotomy 71. CMC Fusion 72. Suspension arthroplasty Finger CMC Joint Injuries 73. Reverse Bennett s 74. IV/V CMC fracture-dislocation Finger CMC Arthritis 75. IV, V CMC fusion with sliding graft