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Vascularized Thumb Metacarpal Periosteal Flap (VTMPF) for Scaphoid Nonunion

This video demonstrates a local flap from the thumb metacarpal that can be used to augment a nonvascularized reconstruction of a scaphoid nonunion
Date
11/02/2022
Jurisdiction
USA
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In this video, an arthroscopic repair of the scapholunate ligament with capsuloligamentous repair is discussed and visually explained.
Hand Fellows from Philadelphia Hand Center, University of Colorado, Mayo Clinic, and Hospital for Special Surgery debate methods for SL reconstruction. 3 Ligament tenodesis, Reduction and Association of SL, Scapholunate internal brace 360, Swivelock SL IL Reconstruction and ANAFAB are also discussed and compared with pearls for each procedure
Thumb carpal metacarpal joint (CMCJ) arthritis is common. Surgical denervation is an option for symptomatic CMCJ arthritis. Articular branches of denervation can be performed using a single volar incision. Synovectomy at the CMCJ can also be performed at the same time. Short recovery period is noted.
Drs. Hess, Wilton, and Maslow discuss treatment options for metacarpal fractures, including ORIF with plates, K wires, and intramedullary screws.
This video is of a lecture on zone I-V flexor tendon repairs, WALANT, complications, and tendon reconstruction.