Wrist Surgery : Tricks of the Trade

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