The Upper Hand: Chuck & Chris Talk Hand Surgery Live with Chuck and Chris from London at IFSSH
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Jun 19, 2022 The hosts share their travel escapades to London, navigating flight delays and cultural quirks. They highlight key insights from the IFSSH conference, including discussions on congenital hand conditions and divergent surgical approaches. Surgical plate complexities and advances in wrist surgery techniques take center stage, shedding light on innovative strategies. The complexity of forearm instability treatment is explored, alongside reflections on balancing life, work, and humorous parenting challenges, all while encouraging audience involvement.
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Volar Plate Reduction
- Get a good reduction before using a volar plate as a reduction tool.
- Asking too much of the plate can lead to catastrophic failure, especially in osteoporotic bone.
Surgeon Practices
- Most surgeons avoid using volar plates as reduction tools, preferring to achieve good reduction beforehand.
- This contrasts with the designer's intended use of the plate.
Changing Views
- Chuck Goldfarb initially believed volar plates could always be reduction tools, but his view has changed with experience.
- Now, he primarily uses them for osteotomies to restore normal anatomy, not acute fractures.