Proximal Pole Scaphoid Nonunion Reconstruction with Rib Graft

Description

This educational surgical video covers a complex hand surgery to reconstruct a young man's scaphoid bone, which suffered non-union and significant damage after a previous operation. Dr. Sanj Kakar and Dr. Brian Carlsen, orthopedic specialists, detail their surgical approach using a rib graft technique after discovering that the proximal pole of the scaphoid is unsalvageable. The procedure begins with a thorough analysis of the patient's 3D anatomical model to assess the deformity.



The surgeons perform careful dissection to avoid injury to the extensor tendons and utilize various surgical techniques, such as making incisions and identifying crucial anatomical compartments. They explore the scaphoid’s surface to assess its viability before extracting a rib graft to replace the damaged scaphoid segment. Along the way, they meticulously evaluate the surrounding structures, identify necessary anatomical landmarks, and ensure proper blood supply to the graft.



With each step documented, the team highlights critical decision-making processes and techniques, addressing challenges related to blood supply and structural integrity. The video emphasizes safety, precision in technique, and detailed planning necessary for successful reconstruction in orthopedic surgery.

Specialties