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Related Experiment Videos

[Alloplastic partial replacement of the scaphoid bone].

P Haussmann

    Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
    |September 1, 1983
    PubMed
    Summary

    This study proposes using a Silastic carpal lunate implant for scaphoid non-union with small proximal fragments. This technique preserves intercarpal joint integrity and enhances thumb base stability.

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    A comparison of two indices for ulnar translation and carpal height in the rheumatoid wrist.

    Journal of hand surgery (Edinburgh, Scotland)·2004

    Area of Science:

    • Orthopedic surgery
    • Hand surgery
    • Reconstructive surgery

    Context:

    • Non-union of the carpal scaphoid bone, especially with small proximal fragments, poses surgical challenges.
    • Standard Silastic scaphoid implants may not fit optimally due to anatomical discrepancies.
    • The proximal scaphoid fragment's morphology resembles the lunate bone.

    Purpose:

    • To present a novel surgical technique for treating carpal scaphoid non-union with small proximal fragments.
    • To evaluate the feasibility and outcomes of using a Silastic carpal lunate implant in this specific scenario.

    Summary:

    • A modified approach involves utilizing a Silastic carpal lunate implant to replace the proximal scaphoid fragment.
    • The existing distal scaphoid fragment is preserved, maintaining intercarpal joint composition.

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  • This method aims to improve the stability of the thumb's carpometacarpal joint.
  • Impact:

    • Offers a potential solution for difficult scaphoid non-union cases where standard implants fail.
    • Preserves native joint structures, potentially leading to better long-term function.
    • Demonstrates a viable alternative surgical strategy in hand reconstruction.