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Title
1. Introduction
2. Surgical Approach
3. Incision and Exposure
4. Fracture Fusion Site Preparation
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a. Debride Fibrous Tissue with a Rongeur
b. Insert K-Wire Through Distal Phalanx and Distal Fracture Fragment
5. Bone Graft Harvesting from Iliac Crest
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a. Incision and Exposure
b. Harvest Graft
c. Graft Preparation and Donor Site Closure
6. Bone Graft Inset
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a. Place Graft into Fracture Site
b. Advance K-Wire Through Graft, Proximal Fragment, and First Metacarpal
c. Pack Graft with Cancellous Bone from Graft
7. Review of Anatomy
8. Closure
9. Post-op Remarks
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Bone Graft for Nonunion of Right Thumb Proximal Phalanx Fracture
Sudhir B. Rao, MD
1
;
Mark N. Perlmutter, MS, MD, FICS, FAANOS
2
;
Arya S. Rao
3
;
Grant Darner
4
1
Big Rapids Orthopaedics
2
Carolina Regional Orthopaedics
3
Columbia University
4
Duke University School of Medicine
Tags:
Orthopaedics
Global Surgery
Hand Surgery
Pediatric Surgery
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Procedure Outline
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Authors
Sudhir Rao
Mark N. Perlmutter, MS, MD, FICS, FAANOS
Arya S. Rao
Grant Darner
Filmed At:
Hospital Leonardo Martinez, Honduras
Article Information
Publication Date
11/7/2023
Article ID
290.13
Production ID
0290.13
Volume
2023
Issue
290.13
DOI
https://doi.org/10.24296/jomi/290.13