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Scaphoid Open Reduction and Internal Fixation Through Dorsal Approach

M. Grant Liska, BS1; Asif M. Ilyas, MD, MBA, FACS2
1University of Central Florida College of Medicine
2Rothman Institute at Thomas Jefferson University

1. Introduction

2. Surgical Approach

3. Incision and Dissection to Extensor Retinaculum

4. Joint Capsule Exposure

5. Inverted-T Arthrotomy to Expose Scaphoid and Fracture Line

6. Guidewire Placement

7. Screw Placement

  1. Measure Guidewire
  2. Drill over Guidewire
  3. Place Screw over Guidewire
  4. Confirm Screw Position

8. Closure