Wrist Surgery

by Baratz, Mark E.

• ISBN13: 9781588902177
• ISBN10: 158890217X
• Edition: 1st
• Format: Hardcover
• Copyright: 2006-08-01
• Publisher: THIEME NEW YORK

Summary

"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 moreMore than 350 quality illustrations provide visual aid to surgical technique, ideal for review in preparation for a procedureReview of indications, technique, post-operative care, and alternative techniques in easy-to-digest bulleted textAn invaluable reference for practicing hand surgeons and orthopedists, this text will also be appreciated by residents, particularly those on hand surgery rotations.

Author Biography

Mark E. Baratz, M.D., is Professor and Vice Chairman of Orthopaedic Surgery at the Drexel University College of Medicine, and Director, Division of Upper Extremity Surgery, Residency and Fellowship Program Director, Allegheny General Hospital, Pittsburgh, Pennsylvania Melvin P. Rosenwasser, M.D., is Professor of Orthopaedic Surgery and Director of Orthopaedic Hand Trauma, Columbia University College of Physicians and Surgeons, New York-Presbyterian Hospital, New York, New York Brian D. Adams, M.D., is Professor of Orthopaedics and Bioengineering and Director of Hand Surgery Fellowship, Department of Orthopaedic Surgery, University of Iowa College of Medicine and University of Iowa Hospitals and Clinics, Iowa City, Iowa Scott H. Kozin, M.D., is Associate Professor of Orthopaedics Temple University School of Medicine

Table of Contents

Foreword	xi
Peter J. Stern
Preface	xiii
Acknowledgments	xv
Section I Overview of Distal Radius Fractures	1	(18)
Closed Reduction and Percutaneous Pin Fixation of Distal Radius Fractures	2	(3)
Limited-Open Reduction and Percutaneous Pin Fixation with External Fixation of Distal Radius Fractures	5	(3)
Intra-articular Fractures of the Distal Radius Treated with Dorsal Plate	8	(2)
Palmar Fracture/Subluxation of the Distal Radius	10	(2)
Open Treatment of a Distal Radius Fracture with a Fixed Angle Palmar Plate	12	(3)
Open Treatment of Galeazzi Fractures	15	(4)
Section II Distal Radius Malunions and Nonunions	19	(10)
Extension Osteotomy for the Malunited Distal Radius	20	(3)
Dorsal and Palmar Osteotomy for Malunion of Distal Radius with Iliac Crest Bone Graft	23	(2)
Malunion of the Distal Radius with Palmar Translation of the Articular Surface	25	(2)
Nonunion of Distal Radius Fractures	27	(2)
Section III Distal Ulna Fractures	29	(8)
Open Reduction and Internal Fixation of an Ulnar Styloid Fracture	30	(3)
Fractures of the Ulnar Head	33	(2)
Fractures of the Ulnar Neck	35	(2)
Section IV Distal Ulna Nonunions	37	(8)
Resect Ulnar Styloid Fracture with Repair of Triangular Fibrocartilage Complex	38	(3)
Nonunion of an Ulnar Neck Fracture	41	(4)
Section V.1 The Distal Radioulnar Joint: Unstable Distal Ulna, Head Intact	45	(10)
Open Repair of an Ulnar-Sided Triangular Fibrocartilage Complex Tear	46	(3)
Peripheral Tear of the Triangular Fibrocartilage Complex from the Ulna: Arthroscopic Repair	49	(4)
Reconstruction of Distal Radioulnar Ligaments	53	(2)
Section V.2 The Distal Radioulnar Joint: Arthritis	55	(8)
Sauve-Kapandji Procedure	56	(2)
Hemiresection Arthroplasty of the Distal Ulna	58	(2)
Darrach Procedure (Distal Ulna Resection)	60	(3)
Section V.3 The Distal Radioulnar Joint: Unstable Distal Ulna, Post-Darrach	63	(10)
Flexor Carpi Ulnaris Tenodesis Stabilization of the Resected Distal Ulna	64	(3)
Extensor Carpi Ulnaris-Flexor Carpi Ulnaris Tenodesis Stabilization of the Resected Distal Ulna	67	(2)
Distal Ulna Implant Arthroplasty	69	(4)
Section V.4 The Distal Radioulnar Joint: Ulnocarpal Abutment	73	(10)
Arthroscopic ``Wafer'' Procedure	74	(3)
Open ``Wafer'' Procedure	77	(2)
Ulnar Shaft Shortening Osteotomy	79	(4)
Section VI.1 The Wrist Joint: Scaphoid Fractures	83	(6)
Percutaneous Screw Fixation of Scaphoid Fractures	84	(3)
Open Reduction and Internal Fixation of Displaced Scaphoid Fractures via Dorsal Approach	87	(2)
Section VI.2 The Wrist Joint: Scaphoid Nonunions	89	(6)
Open Reduction and Internal Fixation of Scaphoid Nonunion via Palmar Approach with Distal Radial Bone Graft	90	(3)
Open Reduction and Internal Fixation of Scaphoid Nonunion with Vascularized Bone Graft	93	(2)
Section VI.3 The Wrist Joint: Nonunion Hook of Hamate	95	(4)
Excision Hook of Hamate for Nonunion	96	(3)
Section VI.4 The Wrist Joint: Scapholunate Ligament Injuries	99	(14)
Arthroscopy and Percutaneous Pin Fixation of Scapholunate Ligament Injuries	100	(2)
Open Scapholunate Ligament Repair	102	(2)
Scapholunate Reconstruction with Dorsal Capsular Flap (Blatt Procedure)	104	(2)
Flexor Carpi Radialis Tendon Stabilization of the Scapholunate Joint (Brunelli Procedure)	106	(2)
Bone Graft--Bone Autograft Reconstruction	108	(2)
Screw Fixation: Reduction and Association of the Scapholunate (RASL) Procedure	110	(3)
Section VI.5 The Wrist Joint: Carpal Fracture-Dislocations	113	(12)
Open Reduction and Internal Fixation Perilunate Dislocation via Dorsal Approach	114	(2)
Open Reduction and Internal Fixation Lunate Dislocation via Combined Dorsal-Palmar Approach	116	(3)
Open Reduction and Internal Fixation of Trans-scaphoid Perilunate Fracture Dislocation	119	(3)
Open Reduction and Internal Fixation of Scaphocapitate Syndrome	122	(3)
Section VI.6 The Wrist Joint: Arthritis Due to Scapholunate Advanced Collapse and Scaphoid Nonunion Advanced Collapse	125	(12)
Wrist Denervation	126	(2)
Radial Styloidectomy	128	(2)
Proximal Row Carpectomy with Capsular Resurfacing	130	(3)
Scaphoid Excision with Capitolunate Triquetrohamate Arthrodesis	133	(2)
Excision Distal Pole of the Scaphoid	135	(2)
Section VI.7 The Wrist Joint: Scaphotrapeziotrapezoid Arthritis	137	(6)
Scaphotrapeziotrapezoid Joint Fusion	138	(3)
Scaphotrapeziotrapezoid Joint Arthroplasty	141	(2)
Section VI.8 The Wrist Joint: Rheumatoid and Post-traumatic Arthritis	143	(14)
Arthroscopic Synovectomy	144	(2)
Extensor Carpi Radialis Longus to Extensor Carpi Ulnaris Tendon Transfer	146	(2)
Radiocarpal Fusion	148	(2)
Total Wrist Arthrodesis	150	(3)
Total Wrist Arthroplasty	153	(4)
Section VI.9 The Wrist Joint: Kienbock Disease	157	(14)
Radial Shortening	158	(3)
Vascularized Bone Grafting for Kienbock Disease	161	(3)
Capitate Shortening with Capitohamate Fusion	164	(3)
Scaphocapitate Fusion with Lunate Excision	167	(4)
Section VI.10 The Wrist Joint: The Pediatric Wrist	171	(14)
Fractional Lengthening	172	(3)
Closing Wedge Osteotomy of Carpus	175	(3)
Tendon Transfer for Wrist Extension	178	(4)
Madelung's Deformity	182	(3)
Section VI.11 The Wrist Joint: Ganglions	185	(6)
Excision of Dorsal Wrist Ganglion	186	(2)
Excision of Palmar Wrist Ganglion	188	(3)
Section VII.1 The Carpometacarpal Joint: Thumb Carpometacarpal Joint Injuries	191	(8)
Ligament Reconstruction	192	(3)
Closed Reduction and Internal Fixation of Bennett's or Rolando's Fractures	195	(4)
Section VII.2 The Carpometacarpal Joint: Thumb Carpometacarpal Arthritis	199	(12)
Metacarpal Osteotomy	200	(3)
Thumb Carpometacarpal Joint Fusion	203	(3)
Ligament Reconstruction with Tendon Interposition	206	(5)
Section VII.3 The Carpometacarpal Joint: Finger Carpometacarpal Joint Injuries	211	(6)
Closed Reduction and Internal Fixation of Reverse Bennett's Fractures	212	(3)
Open Reduction and Internal Fixation of Ring and Small Fracture-Dislocations	215	(2)
Section VII.4 The Carpometacarpal Joint: Finger Carpometacarpal Arthritis	217	(4)
Arthrodesis of Ring and Small Carpometacarpal Joints	218	(3)
Index	221