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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1238_Библиотеки_им_академика_М_И_Перельмана.pdf
Tendon transfer (Continued)
to extensor carpi radialis brevis, 179–180, 180f
to extensor carpi radialis longus, 179–180, 180f
extensor carpi ulnaris as donor in, 178–180, 178f–180f
to extensor pollicis brevis, 179–180, 179f–180f
flexor carpi ulnaris as donor in, 178–180, 179f–180f
indications for, 178
pearls about, 180
pitfalls of, 180
postoperative care in, 180
TFCC. See Triangular fibrocartilage complex
Thumb carpometacarpal fusion, 203–205
alternative to, 205
fixation options in, 205
indications for, 203
pearls about, 205
pitfalls of, 205
plate fixation in, 205, 205f
postoperative care in, 205
technique of, 203–205, 203f–205f
wire fixation in, 204–205, 204f
Thumb carpometacarpal joint, 192–209
arthritis of, 192, 200–209
joint fusion for, 203–205, 203f–205f
ligament reconstruction with tendon interposition for,
206–209, 206f–209f
metacarpal osteotomy for, 200–202, 200f–201f
fractures of, closed reduction and internal fixation of,
195–197, 195f–196f
injuries of, 192–197
Thumb carpometacarpal ligament reconstruction,
192–194
alternative techniques in, 194
indications for, 192
pearls about, 194
pitfalls of, 194
postoperative care in, 194
technique of, 192–194, 192f–193f
with tendon interposition, 206–209
alternative techniques in, 209
indications for, 206
osteophyte removal in, 207, 207f
pearls about, 209
pitfalls of, 209
postoperative care in, 209
technique of, 206–209, 206f–209f
Thumb pressure
in fixation of metacarpal fracture, 195
in Madelung’s deformity surgery, 183–184, 183f
Total wrist arthrodesis, 150–152
alternatives to, 152
bone graft for, 151, 151f
indications for, 150
pearls about, 151
pitfalls of, 151–152
plate fixation in, 151–152, 151f
postoperative care in, 152
technique of, 150, 150f–151f
Total wrist arthroplasty, 153–156
alternative to, 156
carpal alignment during, 155, 155f
indications for, 153
pearls about, 154–155
pitfalls of, 155–156
postoperative care in, 156
technique of, 153–154, 153f–156f
Touhy technique, inside-out, for TFCC repair, 50, 51f
T-plate fixation
of ulnar neck fracture, 36
of ulnar neck nonunion, 42, 42f
Transfer of tendons. See Tendon transfer
Transverse capsulotomy, in scaphoid excision with CLTH
arthrodesis, 133, 133f
Traumatic brain injury, spasticity with, fractional lengthening
for, 172
Triangular fibrocartilage complex (TFCC)
in distal radius fracture, 6
peripheral tear of, arthroscopic repair of, 49–52
alternatives to, 50, 51f
indications for, 49
pearls about, 49
pitfalls of, 49–50
postoperative care in, 50
technique of, 49, 49f–50f
reconstruction of, 53–54, 53f–54f
alternative technique in, 54
indications for, 53
pearls about, 54
pitfalls of, 53
postoperative care in, 54
technique of, 53, 53f–54f
in ulnar head fracture, 33, 34f
in ulnar impaction syndrome, 74, 74f–75f, 77, 77f
ulnar-sided tear of, open repair of, 46–48
alternatives to, 47
indications for, 46
pearls about, 47
pitfalls of, 46–47
postoperative care in, 47
technique of, 46, 46f–47f
in ulnar styloid nonunion, repair of, 38–40, 38f–39f
U
Ulna. See Distal Ulna; Ulnar
Ulnar artery, in hamate hook nonunion excision, 96f, 97, 97f
Ulnar deviation deformity, closing wedge osteotomy of carpus
for, 175–177, 175f–177f
Ulnar head fractures, reduction and fixation of, 33–34
alternatives to, 34
bicortical, 34, 34f
indications for, 33
pitfalls of, 33
postoperative care in, 34
technique of, 33–34, 33f–34f
Ulnar impaction syndrome, 74–81
ulnar shaft shortening osteotomy for, 79–81
alternatives to, 81
indications for, 79
pearls about, 80
postoperative care in, 81
preoperative evaluation for, 79
technique of, 79–80, 79f–80f
“wafer” procedure for
arthroscopic, 74–76
alternatives to, 76
indication for, 74
pearls about, 74
pitfalls of, 74–76
postoperative care in, 76
technique of, 74, 74f–75f
open, 77–78
alternatives to, 78
indications for, 77
■ 234 INDEX
pearls about, 78
pitfalls of, 77
postoperative care in, 78
technique of, 77, 77f
Ulnar neck fractures
nonunion of. See Ulnar neck nonunion
reduction and fixation of, 35–36
alternative to, 36
dorsal plate, 35–36, 35f–36f
dual plate, 36, 36f
indications for, 35
pearls about, 35–36
pitfall of, 35
postoperative care in, 36
technique of, 35–36, 35f–36f
Ulnar neck nonunion, plate and graft fixation of, 41–43
alternatives to, 43
indications for, 41
pearls about, 42
pitfalls of, 41
postoperative care in, 43
technique of, 41, 41f–42f
Ulnar nerve
in distal ulna implant arthroplasty, 69, 69f
in hamate hook nonunion excision, 96–97, 96f–97f
in ring and small carpometacarpal arthrodesis,
218, 218f
in tendon harvest/transfer, 180
in ulnar styloid fracture, 30, 30f
in ulnar styloid nonunion, 38, 38f
Ulnar shaft shortening osteotomy, 79–81
alternatives to, 81
indications for, 79
pearls about, 80
postoperative care in, 81
preoperative evaluation for, 79
technique of, 79–80, 79f–80f
Ulnar styloid fracture
nonunion of. See Ulnar styloid nonunion
open reduction and internal fixation of, 30–32
alternative to, 32
indications for, 30
pearls about, 31–32
pitfalls of, 30–31
postoperative care in, 32
technique of, 30, 30f–31f
Ulnar styloid nonunion, resection and TFCC repair in,
38–40, 38f–39f
alternatives to, 39
indications for, 38
pitfalls of, 38–39
postoperative care in, 39
technique of, 38, 38f–39f
Ulnocarpal abutment, by DRUJ, 74–81. See also Ulnar
impaction syndrome
Universal 2 total wrist system, 153
V
Vascularized bone graft
for Kienböck disease, 161–163
alternative techniques in, 163
indications for, 161
pearls about, 163
pitfalls of, 163
postoperative care of, 163
technique for, 161–162, 161f–162f
for scaphoid nonunion, 93–94
indications for, 93
postoperative care in, 93
technique of, 93–94, 93f–94f
Vicker’s ligament, in Madelung’s deformity surgery, 182,
182f–183f, 184
W
“Wafer” procedure, for ulnar impaction syndrome
arthroscopic, 74–76
alternatives to, 76
indications for, 74
pearls about, 74
pitfalls of, 74–76
postoperative care in, 76
technique of, 74, 74f–75f
open, 77–78
alternatives to, 78
indications for, 77
pearls about, 78
pitfalls of, 77
postoperative care in, 78
technique of, 77, 77f
Wire fixation
of Bennett’s or Rolando’s fractures, 196, 196f
in carpometacarpal joint fusion, 204–205, 204f
of carpometacarpal ring and small fracture-dislocations,
215–216, 216f
in closing wedge osteotomy of carpus, 177, 177f
of lunate dislocation, 116–118, 116f–117f
in metacarpal osteotomy, 201
of perilunate dislocation, 114–115, 114f–115f
of reverse Bennett’s fracture, 212, 212f
in ring and small carpometacarpal arthrodesis, 218
of scaphocapitate syndrome, 123
in scaphoid excision with CLTH arthrodesis, 134, 134f
of scapholunate ligament injuries, 103, 103f
in scaphotrapeziotrapezoid joint fusion, 139, 139f
of trans-scaphoid perilunate fracture dislocation, 120, 120f
of ulnar head fracture, 34
Wrist denervation, 126–127
indications for, 126
pearls about, 127
pitfalls of, 126
postoperative care in, 127
preoperative evaluation for, 126
technique of, 126–127, 126f–127f
Wrist extension, tendon transfer for, 178–181
to abductor pollicis longus, 179–180, 179f–180f
Allis forceps for, 178–179, 178f
alternative techniques in, 180
to extensor carpi radialis brevis, 179–180, 180f
to extensor carpi radialis longus, 179–180, 180f
extensor carpi ulnaris as donor in, 178–180, 178f–180f
to extensor pollicis brevis, 179–180, 179f–180f
flexor carpi ulnaris as donor in, 178–180, 179f–180f
indications for, 178
pearls about, 180
pitfalls of, 180
postoperative care in, 180
INDEX 235 ■
