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Combined Onycho-Osteal Graft with Local Flap Reconstruction of Fingertip Amputations
This video demonstrates reconstruction of a fingertip amputation using a
spare parts onycho-osteal graft combined with a local flap for fingertip nailbed and
fingertip reconstruction
Drs Buterbaugh, Putnam, Fitzpartick, and Stepan debate the merits of LRTI, Suture button suspension arthroplasty, Suture suspension arthroplasty with or without an implant, and arthrodesis for management of thumb CMC arthritis
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.
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