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The Integration of Foot and Ankle Instruments to Enhance Orthopedic Hand Surgery: Technical Note
INTRODUCTION: The scaphoid fracture is the most common type of carpal fracture, and disruption of the proximal row of carpal bones alters wrist mechanics altering the stabilization that permits the wrist to work efficiently. When the displacement is at least 2 mm, the majority of surgeons would pref...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664208/ https://www.ncbi.nlm.nih.gov/pubmed/38025352 http://dx.doi.org/10.13107/jocr.2023.v13.i11.3984 |
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author | Raszewski, Jesse A Bamberger, H Brent |
author_facet | Raszewski, Jesse A Bamberger, H Brent |
author_sort | Raszewski, Jesse A |
collection | PubMed |
description | INTRODUCTION: The scaphoid fracture is the most common type of carpal fracture, and disruption of the proximal row of carpal bones alters wrist mechanics altering the stabilization that permits the wrist to work efficiently. When the displacement is at least 2 mm, the majority of surgeons would preferentially operatively intervene in this fracture. Non-union of the fracture will occur when left untreated. The gold standard for treatment is open reduction and internal fixation using autologous bone graft. This case report is the first to describe the integration of the Hintermann™ Distractor, used as an integral part of the surgery in scaphoid waist fracture fixation to improve fracture stabilization, preparation, and compression. CASE REPORT: A 20-year-old male presented with a volar flexed scaphoid non-union, 4 months after the initial injury. Open reduction internal fixation, with the use of the Hintermann™ Distractor, facilitated ease of reduction and placement of Russe graft. CONCLUSION: Scaphoid waist non-unions with volar angulation and an associated DISI deformity can lead to a significant decrease in function. This case study is the first to describe the use of a foot and ankle instrument to assist with fracture preparation and distraction to place a corticocancellous strut graft in the scaphoid fracture efficiently. This case study demonstrates the efficiency of the technique. |
format | Online Article Text |
id | pubmed-10664208 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-106642082023-11-01 The Integration of Foot and Ankle Instruments to Enhance Orthopedic Hand Surgery: Technical Note Raszewski, Jesse A Bamberger, H Brent J Orthop Case Rep Case Report INTRODUCTION: The scaphoid fracture is the most common type of carpal fracture, and disruption of the proximal row of carpal bones alters wrist mechanics altering the stabilization that permits the wrist to work efficiently. When the displacement is at least 2 mm, the majority of surgeons would preferentially operatively intervene in this fracture. Non-union of the fracture will occur when left untreated. The gold standard for treatment is open reduction and internal fixation using autologous bone graft. This case report is the first to describe the integration of the Hintermann™ Distractor, used as an integral part of the surgery in scaphoid waist fracture fixation to improve fracture stabilization, preparation, and compression. CASE REPORT: A 20-year-old male presented with a volar flexed scaphoid non-union, 4 months after the initial injury. Open reduction internal fixation, with the use of the Hintermann™ Distractor, facilitated ease of reduction and placement of Russe graft. CONCLUSION: Scaphoid waist non-unions with volar angulation and an associated DISI deformity can lead to a significant decrease in function. This case study is the first to describe the use of a foot and ankle instrument to assist with fracture preparation and distraction to place a corticocancellous strut graft in the scaphoid fracture efficiently. This case study demonstrates the efficiency of the technique. Indian Orthopaedic Research Group 2023-11 2023-11 /pmc/articles/PMC10664208/ /pubmed/38025352 http://dx.doi.org/10.13107/jocr.2023.v13.i11.3984 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 Unported, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms |
spellingShingle | Case Report Raszewski, Jesse A Bamberger, H Brent The Integration of Foot and Ankle Instruments to Enhance Orthopedic Hand Surgery: Technical Note |
title | The Integration of Foot and Ankle Instruments to Enhance Orthopedic Hand Surgery: Technical Note |
title_full | The Integration of Foot and Ankle Instruments to Enhance Orthopedic Hand Surgery: Technical Note |
title_fullStr | The Integration of Foot and Ankle Instruments to Enhance Orthopedic Hand Surgery: Technical Note |
title_full_unstemmed | The Integration of Foot and Ankle Instruments to Enhance Orthopedic Hand Surgery: Technical Note |
title_short | The Integration of Foot and Ankle Instruments to Enhance Orthopedic Hand Surgery: Technical Note |
title_sort | integration of foot and ankle instruments to enhance orthopedic hand surgery: technical note |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664208/ https://www.ncbi.nlm.nih.gov/pubmed/38025352 http://dx.doi.org/10.13107/jocr.2023.v13.i11.3984 |
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