Scaphoid

ORIF & Cancellous BG (Matti-Russe)

• as for volar ORIF
• use burr of curettes to
  • freshen ends
  • curette bone cyst gelatinous material
  • fashion rectangular trough
• Cut cortico-cancellous graft to fit & jam graft in trough & fill remaining defect with cancellous chips
  • Should be able to withstand wast
• Test stability of fracture site
  • If stable, only graft is needed & not accutrax screw
  • ± K wire or Herberts screw fixation
• Postop
  • Backslab for 6/52
  • r/v 6/52 with XR
  • CT scan at 3/12 if necessary