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  • 1. Introduction
  • 2. Surgical Approach
  • 3. Incision and Exposure
  • 4. Fracture Fusion Site Preparation
  • 5. Bone Graft Harvesting from Iliac Crest
  • 6. Bone Graft Inset
  • 7. Review of Anatomy
  • 8. Closure
  • 9. Post-op Remarks
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Bone Graft for Nonunion of Right Thumb Proximal Phalanx Fracture

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Sudhir B. Rao, MD1; Mark N. Perlmutter, MS, MD, FICS, FAANOS2; Arya S. Rao3; Grant Darner4
1Big Rapids Orthopaedics
2Carolina Regional Orthopaedics
3Columbia University
4Duke University School of Medicine

OrthopaedicsHand SurgeryPediatric SurgeryGlobal Surgery
Main TextProcedure OutlineTranscript

Procedure Outline

Table of Contents

  1. 1. Introduction
  2. 2. Surgical Approach
  3. 3. Incision and Exposure
  4. 4. Fracture Fusion Site Preparation
  5. 5. Bone Graft Harvesting from Iliac Crest
  6. 6. Bone Graft Inset
  7. 7. Review of Anatomy
  8. 8. Closure
  9. 9. Post-op Remarks
  1. Debride Fibrous Tissue with a Rongeur
  2. Insert K-Wire Through Distal Phalanx and Distal Fracture Fragment
  1. Incision and Exposure
  2. Harvest Graft
  3. Graft Preparation and Donor Site Closure
  1. Place Graft into Fracture Site
  2. Advance K-Wire Through Graft, Proximal Fragment, and First Metacarpal
  3. Pack Graft with Cancellous Bone from Graft