Arthroscopic Removal of Loose Bodies The dorsal-ulnar and dorsal-radial portals are interchangeable as the viewing and working portals. He requested an operation. Pseud means false, and arthro means joint; a pseudarthrosis refers to the motion at a false joint. Microfracture of the distal articular surface of the proximal phalanx PP is performed by an arthroscopic awl via the dorsal-ulnar portal. You should keep your hand elevated above the level of your heart for several days to avoid swelling and throbbing. PP, distal articular surface of the proximal phalanx.
AAHS - Outcomes of Arthrodesis for Management of Failed Basal Thumb Arthroplasty
This procedure avoids complications associated with tendon harvesting and more complex operations. Screws with excessive length should be avoided. This exam helps ensure that you are in the best possible condition to undergo the operation. Arthroscopic distal interphalangeal joint arthrodesis.
David S. The joint capsule is a watertight sac around the joint. Here's a handy table listing comparing the best match of K-wires and needles to the drill sizes found in the Synthes modular hand tray:. Thumb fusion surgery is no different. The wire is propagated proximally to the proximal phalanx and engaged at its dorsal cortex.
Skip to main content. Unlike standard bone screws, they are completely intraosseous and account for the lack of a prominent screw head situated in the sensitive volar pulp region. It is important to clear up the cartilage at the volar side of the head of the proximal phalanx. Prior basilar thumb surgeries consisted of trapeziectomy and suspensionplasty 6 , pyrocarbon implant arthroplasty 2 figure 1 , and failed fusion attempt after suspensionplasty 1.