The Upper Hand: Chuck & Chris Talk Hand Surgery
Volar Approach to the Scaphoid: Technical considerations
Feb 11, 2024
The hosts dive into the intricacies of treating scaphoid non-unions through the volar approach. They share innovative techniques and discuss challenges like k-wire fixation and previous surgical complications. Personal anecdotes about patient positioning and surgical experiences add humor and authenticity. Exciting advancements in managing acute nerve injuries are also highlighted, showcasing the importance of education in the field. Their camaraderie makes for an engaging and informative conversation on hand surgery.
33:51
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Quick takeaways
- Proper patient positioning is essential for successful hand surgeries, enhancing access and visibility for complex procedures like cubital tunnel surgery.
- Advancements in scaphoid non-union repair techniques, including innovative grafting and screw placement methods, are crucial for improving surgical outcomes.
Deep dives
Surgical Positioning Techniques
Appropriate positioning during surgical procedures is crucial for successful outcomes in hand surgeries, particularly for complex cases. Experts suggest positioning patients supine with a large towel bump under the elbow to maximize external rotation of the shoulder. This technique facilitates better access and visibility, especially when dealing with difficult cases like cubital tunnel syndrome. Additionally, using sterile tourniquets is debated, with some surgeons favoring their use to maintain exposure and prevent obstruction during the procedure.
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