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Scaphoidectomy and Four Corner Fusion

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Evolution of Scaphoidectomy and Four Corner Fusion

The scaphoidectomy and four corner fusion was developed to limit the painful motion between the carpal bones in the hand by removing some of the articulations and replacing them with fused joints. Early techniques involved holding the bones in place with Kirschner wires (K-wires), however compression was difficult to maintain, and so screws fired across the individual joints was trialed, along with compression staples, both with better fusion rates.

The development and implantation of a circular dorsal plate has grown in favor for its ease of use and rigidness to allow for early active range of motion exercises.

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