Contraindications
Absolute:
• Health condition precluding surgery.
• Allergic reactions to the metal from which the implant is made.
• Active infection.
Relative:
• Significant weakening of the bone making it impossible to install/stabilize the implant properly.
• Abnormal perfusion of fracture area or surgical site.
• Excessive obesity.
• Lack of adequate tissue coverage.
• Psychiatric disorders or the disorders of the musculoskeletal system which may create a risk of fusion failure or complications in the postoperative period.
• Other medical conditions that exclude the potential benefits of the treatment.
Procedure stages
• Remove cartilage from the fused joints (according to the drawing).
• Dorsal surface decortication of the: radial, scaphoid, lunar, capitate bone and Lister's tubercle removing.
• Insert bone graft.
• Insertion of the plate and its positioning.
• Temporary stabilization of the implant using Kirschner wires.
• Introduction of the screws in the distal part of the plate.
• Introduction of the screws in the proximal part of the plate.
• Making X-Ray film to make sure the plate and screws are positioned properly.
• Closing the wound.