The Carpal Architect: Master Techniques: The Wrist
The human wrist is arguably the most complex joint in the body—an intricate arrangement of eight carpal bones suspended by a dense web of intrinsic and extrinsic ligaments. When this delicate mechanical puzzle is disrupted by trauma or crushed by rheumatoid arthritis, the reconstruction demands absolute surgical precision. Master Techniques in Orthopaedic Surgery: The Wrist is a fiercely specialized, heavily illustrated operative atlas detailing the exact methods used by elite hand surgeons. This volume provides the exact blueprints required to reconstruct the kinematics of the carpus.
Mastering Carpal Instability
The core philosophy of this text is restoring the anatomical relationships. The authors aggressively detail the surgical algorithms for treating scapholunate (SL) and lunotriquetral (LT) dissociation. It dictates exactly how to execute a complex ligament reconstruction (e.g., the modified Brunelli tenodesis), utilizing a strip of the flexor carpi radialis (FCR) tendon routed through precisely drilled bone tunnels in the scaphoid to restore its linkage to the lunate.
Navigating Salvage and Arthrodesis
The book provides a masterclass in extreme salvage. It dictates the exact surgical pathways for managing advanced SLAC (scapholunate advanced collapse) and SNAC wrists. It rigorously details the precise execution of a four-corner fusion, emphasizing the absolute necessity of removing the scaphoid to eliminate the arthritic pain, while fusing the remaining carpal bones to a specialized circular plate to preserve a functional, albeit limited, arc of motion.
Frequently Asked Questions (FAQs)
Is this a diagnostic manual?
No, it is a *surgical technique* atlas. It assumes you already know the diagnosis and focuses entirely on *how* to perform the highly complex operations.
Who is the primary audience?
It is the absolute, mandatory surgical atlas for Orthopedic Hand Surgeons, Plastic/Microvascular Surgeons, and Upper Extremity Fellows.
