Bone Graft for Nonunion of Right Thumb Proximal Phalanx Fracture

1. Introduction

2. Surgical Approach

3. Incision and Exposure

4. Fracture Fusion Site Preparation

1. Debride Fibrous Tissue with a Rongeur
2. Insert K-Wire Through Distal Phalanx and Distal Fracture Fragment

5. Bone Graft Harvesting from Iliac Crest

1. Incision and Exposure
2. Harvest Graft
3. Graft Preparation and Donor Site Closure

6. Bone Graft Inset

1. Place Graft into Fracture Site
2. Advance K-Wire Through Graft, Proximal Fragment, and First Metacarpal
3. Pack Graft with Cancellous Bone from Graft

7. Review of Anatomy

8. Closure

9. Post-op Remarks