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Vascularized Thumb Metacarpal Periosteal Flap (VTMPF) for Scaphoid Nonunion

This video demonstrates a local flap from the thumb metacarpal that can be used to augment a nonvascularized reconstruction of a scaphoid nonunion
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Date
11/02/2022
Jurisdiction
USA
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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.
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
This video shows the surgical technique for transradial amputation with TMR to the distal AIN for the median nerve and RPNI for other nerves
In this video, Dr Kakar from the Mayo Clinic discusses and demonstrates arthroscopic foveal TFCC repair.
This video demonstrates treatment of a scaphoid nonunion from a volar approach using iliac crest bone graft.