In this procedure, the surgeon releases, or cuts free, the carpal ligament from the median nerve to relieve the symptoms of carpal tunnel syndrome. Traditionally this has been done through an open surgical procedure, meaning the wrist was opened. In recent years, surgeons have used two less invasive approaches to carpal tunnel surgery, a mini open procedure and an endoscopy approach.
This procedure is used to resolve the pain of a severely arthritic joint of the finger by permanently stopping finger movement. It is most commonly used for the joint nearest the fingertip, known as the DIP joint, although any joint in the finger can be fused. The surgeon will make an incision on the anterior finger to access the joint. A burr will be used to remove all cartilage and prepare the bone for fusion. A K-wire is placed through the tip of the finger through the joint to hold the joint in place while it fuses. Later, the K-wire is removed to allow the soft tissue to heal after the joint is fused.
This procedure is at its root an ORIF for the wrist. It only differs in the complexity of the fracture and the plate used to correctly align the wrist back to its’ anatomical position. Once the fracture is assessed the surgeon will make an incision over the fractured area to expose the fracture. The wrist will be manipulated to return the fractured bone to its’ original position. K-wires can be inserted to hold the bone in position while the Distal radius plate is chosen by size. The complexity of the fracture and size of the wrist determine the size of the plate needed for each surgery. They are also pre-bent and pre-shaped anatomically for left and right sided procedures. Once the plate is chosen, it is fixated temporarily with K-wires, the surgeon will drill pilot holes for each screw. They will use a depth gauge to determine the length of the screw needed. Then place the screw through the plate into the pilot hole securing the plate to bone. Most systems have compression and locking screw options.
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