Percutaneous Internal Fixation of Selected Scaphoid Nonunions with an Arthroscopically Assisted Dorsal Approach by Joseph F. Slade, William B. Geissler,

Slides:

Advertisements

Similar presentations

Osteochondromas of the Distal Aspect of the Tibia or Fibula by Kingsley R. Chin, F. Daniel Kharrazi, Bruce S. Miller, Henry J. Mankin, and Mark C. Gebhardt.

Advertisements

Risk Factors in Redisplacement of Distal Radial Fractures in Children by Kadir Bahadır Alemdaroğlu, Serkan İltar, Oğuzhan Çimen, Mehmet Uysal, Ender Alagöz,

Transepiphyseal Replacement of the Anterior Cruciate Ligament Using Quadruple Hamstring Grafts in Skeletally Immature Patients by Allen F. Anderson J Bone.

Subtrochanteric Valgus Osteotomy for Chronically Dislocated, Painful Spastic Hips by Kathleen A. Hogan, Matthew Blake, and Richard H. Gross J Bone Joint.

Diagnostic Performance of Radiographs and Computed Tomography for Displacement and Instability of Acute Scaphoid Waist Fractures by Geert A. Buijze, Peter.

Carpal Instability*† by Richard H. Gelberman, William P. Cooney, and Robert M. Szabo J Bone Joint Surg Am Volume 82(4): April 1, 2000 ©2000 by The.

In Vivo Three-Dimensional Determination of the Effectiveness of the Osteoarthritic Knee Brace: A Multiple Brace Analysis by Matthew C. Nadaud, Richard.

by Saam Morshed, Kevin Choo, Utku Kandemir, and Scott Patrick Kaiser

by Varun Puvanesarajah, Jay R. Shapiro, and Paul D. Sponseller

Evaluation of Articular Cartilage Progenitor Cells for the Repair of Articular Defects in an Equine Model by David D. Frisbie, Helen E. McCarthy, Charles.

Percutaneous Screw Fixation or Cast Immobilization for Nondisplaced Scaphoid Fractures by Charles D. Bond, Alexander Y. Shin, Mark T. McBride, and Khiem.

Acute Fractures of the Scaphoid by J. Mi Haisman, Rachel S. Rohde, and Andrew J. Weiland J Bone Joint Surg Am Volume 88(12): December 1, 2006.

by Joseph F. Slade, Andrew P. Gutow, and William B. Geissler

Minimally Invasive Approach for the Treatment of Non- Isolated Congenital Vertical Talus by Ornusa Chalayon, Amelia Adams, and Matthew B. Dobbs J Bone.

Intraoperative Monitoring with Stimulus-Evoked Electromyography during Placement of Iliosacral Screws. An Initial Clinical Study* by BERTON R. MOED, B.

Fractures of the Dorsal Articular Margin of the Distal Part of the Radius with Dorsal Radiocarpal Subluxation by Santiago A. Lozano-Calderón, Job Doornberg,

Computer-Assisted Navigation in Total Knee Replacement: Results of an Initial Experience in Thirty-five Patients by S. David Stulberg, Peter Loan, and.

Volume 92(Supplement 2): Recurrent Shoulder Instability: Current Concepts for Evaluation and Management of Glenoid Bone Loss by CDR Matthew T. Provencher,

Tibial Stress Fracture after a Graft Has Been Obtained from the Fibula. A Report of Five Cases* by SANFORD E. EMERY, JOHN G. HELLER, CHERYL A. PETERSILGE,

In Vivo Radiocarpal Kinematics and the Dart Thrower's Motion by Joseph J. Crisco, James C. Coburn, Douglas C. Moore, Edward Akelman, Arnold- Peter C. Weiss,

Combined Dorsal and Volar Plate Fixation of Complex Fractures of the Distal Part of the Radius by David Ring, Karl Prommersberger, and Jesse B. Jupiter.

Scoliosis in Patients with Duchenne Muscular Dystrophy by Lori A. Karol J Bone Joint Surg Am Volume 89(suppl 1): February 1, 2007 ©2007 by The Journal.

Internal Fixation of Dorsally Displaced Fractures of the Distal Part of the Radius by Andrew A. Willis, Keiji Kutsumi, Mark E. Zobitz, and William P. Cooney.

Results of Polyaxial Locked-Plate Fixation of Periarticular Fractures of the Knee by George Haidukewych, Stephen A. Sems, David Huebner, Daniel Horwitz,

A Rare Acromioclavicular Joint Injury in a Twelve-Year-Old Boy by John M. Kirkos, Kyriakos A. Papavasiliou, Ioannis K. Sarris, and George A. Kapetanos.

by Matjaz Veselko, and Matej Kastelec

Effect of Tibial Drill Angles on Bone Tunnel Aperture During Anterior Cruciate Ligament Reconstruction by Sebastian Kopf, Daniel E. Martin, Scott Tashman,

Open Reduction and Internal Fixation Compared with Circular Fixator Application for Bicondylar Tibial Plateau Fractures by Jeremy A. Hall, Murray J. Beuerlein,

Revision Anterior Cruciate Ligament Reconstruction with Doubled Semitendinosus and Gracilis Tendons and Lateral Extra-Articular Reconstruction by Andrea.

Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew.

Multifocal Osteonecrosis of the Capitella and Femoral Condyles After Stem Cell Transplantation and Corticosteroid Treatment for Acute Lymphocytic Leukemia.

Copeland Surface Replacement Arthroplasty of the Shoulder in Rheumatoid Arthritis by Ofer Levy, Lennard Funk, Giuseppe Sforza, and Stephen A. Copeland.

Adult Trauma: Getting Through the Night by Andrew H. Schmidt, Jeffrey Anglen, Arvind D. Nana, and Thomas F. Varecka J Bone Joint Surg Am Volume 92(2):

Percutaneous Distal Osteotomy of the Fifth Metatarsal for Correction of Bunionette by Bruno Magnan, Elena Samaila, Manuel Bondi, Ingrid Bonetti, and Pietro.

Reconstruction of the Posterior Cruciate Ligament with a Mid-Third Patellar Tendon Graft with Use of a Modified Tibial Inlay Method by Young-Bok Jung,

Percutaneous Autologous Bone-Marrow Grafting for Nonunions by Ph. Hernigou, A. Poignard, F. Beaujean, and H. Rouard J Bone Joint Surg Am Volume 87(7):

Reconstruction of Segmental Bone Defects Due to Chronic Osteomyelitis with Use of an External Fixator and an Intramedullary Nail by Levent Eralp, Mehmet.

Oncologic and Functional Outcome Following Sacrectomy for Sacral Chordoma by Christopher A. Hulen, H. Thomas Temple, William P. Fox, Andrew A. Sama, Barth.

Scaphoid Fractures: What’s Hot, What’s Not by William B. Geissler, Julie E. Adams, Randy R. Bindra, William D. Lanzinger, and David J. Slutsky J Bone Joint.

Anterior Cruciate Ligament Reconstruction with a Four- Strand Hamstring Tendon Autograft by Riley J. Williams, Jon Hyman, Frank Petrigliano, Tamara Rozental,

Unusual Osteochondroma of the Medial Part of the Clavicle Causing Subclavian Vein Thrombosis and Brachial Plexopathy by Anthony V. Mollano, Mark L. Hagy,

Ultrasonography of the Rotator Cuff by Sharlene A. Teefey, S. Ashfaq Hasan, William D. Middleton, Mihir Patel, Rick W. Wright, and Ken Yamaguchi J Bone.

Medial Portal Drilling: Effects on the Femoral Tunnel Aperture Morphology During Anterior Cruciate Ligament Reconstruction by Daniel Hensler, Zachary M.

Bullet Extraction from the Sacroiliac Joint with an Arthroscopically Assisted Dual Guidewire Technique by Brandon J. Erickson, Bryan D. Haughom, Michael.

The Efficacy of Ultrasound in the Evaluation of Dynamic Scapholunate Ligamentous Instability by Khiem D. Dao, Daniel J. Solomon, Alexander Y. Shin, and.

Non-Union of the Scaphoid. Treatment with Cannulated Screws Compared with Treatment with Herbert Screws* by THOMAS E. TRUMBLE, TODD CLARKE, and HANS J.

Fistula between the Hip and the Sigmoid Colon after Total Hip Arthroplasty. A Case Report* by JARED S. LEVIN, AGUSTIN A. RODRIGUEZ, and KEVIN LUONG J Bone.

Abrasive Three-Body Wear of Polyethylene Caused by Broken Multifilament Cables of a Total Hip Prosthesis A Report of Three Cases* by THOMAS W. BAUER, JIANG.

Realignment and Extended Fusion with Use of a Medial Column Screw for Midfoot Deformities Secondary to Diabetic Neuropathy by Mathieu Assal, Adrien Ray,

Microcomputed Tomography Characterization of Shoulder Osseous Deformity After Brachial Plexus Birth Palsy: A Rat Model Study by Zhongyu Li, Jonathan Barnwell,

Volar Locking Plate Implant Prominence and Flexor Tendon Rupture

Stress Fracture of the Acetabular Rim: Arthroscopic Reduction and Internal Fixation by Noah J. Epstein, and Marc R. Safran J Bone Joint Surg Am Volume.

Operative Treatment of Cervical Spondylotic Myelopathy by Raj D. Rao, Krishnaj Gourab, and Kenny S. David J Bone Joint Surg Am Volume 88(7): July.

Computed Tomographic Assessment of Fractures of the Posterior Wall of the Acetabulum After Operative Treatment by Berton R. Moed, Seann E. Willson Carr,

Correction of Tibial Deformity with Use of the Ilizarov- Taylor Spatial Frame by S. Robert Rozbruch, Austin T. Fragomen, and Svetlana Ilizarov J Bone Joint.

Comminuted Fractures of the Radial Head: Comparison of Resection and Internal Fixation by Masayoshi Ikeda, Kazuhiro Sugiyama, Chonte Kang, Tomonori Takagaki,

Activity Levels Are Higher After Osteochondral Autograft Transfer Mosaicplasty Than After Microfracture for Articular Cartilage Defects of the Knee by.

Temporary Internal Distraction as an Aid to Correction of Severe Scoliosis by Jacob M. Buchowski, David L. Skaggs, and Paul D. Sponseller JBJS Essent Surg.

Topics in Medical Economics: Health Care Rationing by Joseph Bernstein J Bone Joint Surg Am Volume 88(11): November 1, 2006 ©2006 by The Journal.

Open Fractures in Children by David G. Stewart, Robert M. Kay, and David L. Skaggs J Bone Joint Surg Am Volume 87(12): December 1, 2005 ©2005.

Locking Plates: Tips and Tricks by Wade R. Smith, Bruce H. Ziran, Jeff O. Anglen, and Philip F. Stahel J Bone Joint Surg Am Volume 89(10): October.

The Need for Increased Access to the U.S. Health-Care System by Jesse E. Bible, Richard S. Lee, and Gary E. Friedlaender J Bone Joint Surg Am Volume 91(2):

An AOA Critical Issue: Aging of the North American Population: New Challenges for Orthopaedics* by Joseph A. Buckwalter, James D. Heckman, and David P.

Posterior Dislocation of the Elbow with Fractures of the Radial Head and Coronoid by David Ring, Jesse B. Jupiter, and Jeffrey Zilberfarb J Bone Joint.

Time Trade-Off as a Measure of Health-Related Quality of Life: Long Bone Nonunions Have a Devastating Impact by Patrick C. Schottel, Daniel P. O’Connor,

Autologous Osteochondral Mosaicplasty by László Hangody, Gábor K. Ráthonyi, Zsófia Duska, Gábor Vásárhelyi, Péter Füles, and László Módis J Bone Joint.

Deepak N. Bhatia, M.S.(Orth), D.N.B.(Orth) Arthroscopy Techniques

Direct “Cystoscopic” Approach for Arthroscopic Decompression of an Intraosseous Ganglion of the Lunate Deepak N. Bhatia, M.S.(Orth), D.N.B.(Orth) Arthroscopy.

A. 16 yo high school running back with worsening right wrist pain one year after scaphoid nonunion surgery at another hospital. Radiographs demonstrate.

A. 32 yo male presented for treatment of his painful left wrist 4 years after surgery for a scaphoid nonunion. Xrays showed continued nonunion, early arthritis,

Presentation transcript:

Percutaneous Internal Fixation of Selected Scaphoid Nonunions with an Arthroscopically Assisted Dorsal Approach by Joseph F. Slade, William B. Geissler, Andrew P. Gutow, and Greg A. Merrell J Bone Joint Surg Am Volume 85(suppl 4):20-32 November 1, 2003 ©2003 by The Journal of Bone and Joint Surgery, Inc.

The radiograph on the left suggests, and the arthroscopic image on the right confirms, a fibrous scaphoid nonunion. Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Scaphoid nonunions with minimal sclerosis may demonstrate arthroscopic findings similar to those of fibrous scaphoid unions. Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Eighty percent of the scaphoid surface is composed of articular cartilage, and its architecture is composed of multiple concave and convex surfaces, making the central axis a difficult target to define (A and B). Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

The central axis of the scaphoid can be visualized with imaging. Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

The distance between a mini-imaging unit's projection and receiving heads is approximately 14 in (36 cm). Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

With the wrist extended, imaging is used to confirm that the wire is in the correct position along the central axis in all planes. Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

A complete arthroscopic examination includes visualization of the radiocarpal and midcarpal joints. Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

After the arthroscopic survey is completed, the wrist is flexed and a guide-wire is driven from volar to dorsal. Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Scaphoid length is determined by using two parallel guide-wires. Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

A standard cannulated Acutrak hand drill is used, and the scaphoid is drilled not closer than 2 mm to the opposite distal scaphoid cortex. Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

A standard-size screw, 4 mm shorter than the length of the scaphoid, is selected. Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

In long-standing scaphoid nonunions, the texture of the bone changes. Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Computed tomography scan showing bridging bone. Joseph F. Slade III et al. J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.