Unsolved Problems in Hand Surgery: JHS European based discussion on Kienbocks and CMC Instability
The Upper Hand: Chuck & Chris Talk Hand Surgery
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The Importance of a Joint Leveling Procedure for a Male Laborer
The coronal plane fractures are difficult. And there is literature to suggest that one can fix those with a small screw and get them to heal. In fact, we are moving to try to substitute it, for instance, by a 3D printed lunate. Because perhaps the most important thing is to restore karpo kinematics and kinetics. The question I guess here is whether you believe that you're doing a four or five graft and bugging it into the back of his lunate. That doesn't work. As Marais saying, we may be revascularizing the bone, but are we restoring the height and maintaining kinematic and normal mechanics?
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