Bone Graft for Nonunion of Right Thumb Proximal Phalanx Fracture Sudhir B. Rao, MD1; Mark N. Perlmutter, MS, MD, FICS, FAANOS2; Arya S. Rao3; Grant Darner4 1Big Rapids Orthopaedics 2Carolina Regional Orthopaedics 3Columbia University 4Duke University School of Medicine
In this video, the authors describe and demonstrate a surgical technique for the treatment of an unstable nonunion of a proximal phalangeal fracture of the thumb.
The video describes the surgical exposure, preparation of the nonunion site, harvesting of autogenous iliac corticocancellous bone graft, bone grafting of the defect, and stabilization with K-wire fixation.
Jonah Poster Shriners Hospitals for Children – Boston
Jonathan Friedstat, MD Shriners Hospitals for Children – Boston Massachusetts General Hospital
Burn scar contracture of the dorsal foot causes metatarsophalangeal joint hyperextension and interphalangeal joint hyperextension. In children, these issues only intensify over time as a child grows. Here, Dr. Friedstat at Shriners Hospitals for Children in Boston presents the case of a young boy who suffered a 32% total body surface area flame burn to his lower back, bilateral buttocks, legs, and feet. This patient had previously undergone a bilateral contracture release of the dorsum of the foot. Because the contractures recurred, another bilateral dorsal foot scar contracture release was performed using a split-thickness 1:1 meshed skin graft harvested from the anterior left thigh.
J. Corbin Norton Department of Urology, University of Arkansas for Medical Sciences
Amrit Singh, MD Department of Pathology, University of Arkansas for Medical Sciences / Arkansas Children’s Hospital
Laura L. Hollenbach, MD Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences
Georgia Gamble, MD Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences
Laura A. Gonzalez-Krellwitz, MD Department of Pathology, University of Arkansas for Medical Sciences / Arkansas Children’s Hospital
Stephen J. Canon, MD Department of Pediatric Urology, Arkansas Children’s Hospital
The patient in this case is a 15-year-old female who presented with primary amenorrhea and who on work-up was found to have complete androgen insensitivity syndrome. Here, Dr. Canon at the University of Arkansas for Medical Sciences performs a prophylactic laparoscopic bilateral gonadectomy to reduce her future risk for intra-abdominal testicular malignancies. Final pathology results showed a rare case of bilateral germ cell neoplasia in situ and bilateral paratesticular leiomyomas and reinforced the decision to intervene early allowing for the removal of the gonads prior to their conversion to formal germ cell tumors.
J. Corbin Norton, MD Department of Urology University of Arkansas for Medical Sciences
Stephen J. Canon, MD Department of Pediatric Urology Arkansas Children’s Hospital
Amrit Singh, MD Department of Pathology University of Arkansas for Medical Sciences / Arkansas Children’s Hospital
Laura L. Hollenbach, MD Department of Obstetrics and Gynecology University of Arkansas for Medical Sciences
Georgia Gamble, MD Department of Obstetrics and Gynecology University of Arkansas for Medical Sciences
Laura A. Gonzalez-Krellwitz, MD Department of Pathology University of Arkansas for Medical Sciences / Arkansas Children’s Hospital
The patient, in this case, is a 15-year-old female who presented with primary amenorrhea and who on work-up was found to have complete androgen insensitivity syndrome. Here, Dr. Canon at the University of Arkansas for Medical Sciences performs a prophylactic laparoscopic bilateral gonadectomy to reduce her future risk for intra-abdominal testicular malignancies. Final pathology results showed a rare case of bilateral germ cell neoplasia in situ and bilateral paratesticular leiomyomas and reinforced the decision to intervene early allowing for the removal of the gonads prior to their conversion to formal germ cell tumors.
Yoko Young Sang, MD Resident Physician General Surgery Louisiana State University Shreveport
Caroll Alvarado Lemus, MD Pediatric Surgery, Mario Catarino Rivas Hospital, Honduras San Pedro Sula, Honduras
Domingo Alvear, MD Founder World Surgical Foundation
The patient in this case is a 6-year-old boy who was born with Down syndrome and esophageal atresia. In this video article, Dr. Alvear performs a colonic interposition to replace the absent esophagus with part of the patient’s colon. This was performed during a global surgical mission in Honduras with the World Surgical Foundation.
Domingo Alvear, MD Founder, World Surgical Foundation
Yoko Young Sang, MD Resident Physician General Surgery Louisiana State University Shreveport
In this case, Dr. Alvear performs an open right inguinal herniorrhaphy on a 1-year-old male using his own technique involving high ligation of the hernia sac and internal ring repair. This was filmed during a surgical mission in Honduras with the World Surgical Foundation.
Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES World Surgical Foundation, Philippines Training Officer of the Division of Pediatric Surgery Philippine Children’s Medical Center
In this case, Dr. Lester Suntay performs a proctocolectomy on a 4-year-old male with Hirschsprung’s disease while on a surgical mission in the Philippines with the World Surgical Foundation.
Mark N. Perlmutter, MS, MD, FICS, FAANOS
Carolina Regional Orthopaedics
The patient in this case is a 15-year-old female who had a stroke several years ago and now has a left hand spastic contracture. Here, Dr. Rao and Dr. Perlmutter perform an STP transfer, an adductor release, and a Z-plasty to lengthen the flexor tendons of the hand and repair her thumb-in-palm deformity. This case was performed during a surgical mission to Honduras with the World Surgical Foundation.
Domingo Alvear, MD
Founder, World Surgical Foundation
Lissa Henson, MD
Philippine Society of Pediatric Surgeons
In this case, Dr. Alvear performs a bilateral open inguinal hernia repair on the second of two twin babies while on a surgical mission with the World Surgical Foundation in the Philippines. On one side, the ovary was trapped within the hernia sac. Here, Dr. Alvear demonstrates his technique for preserving the ovary in this setting, which is effective, much quicker, and much safer with fewer complications for anesthesia.
Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
Philippine Children’s Medical Center
In this case, Dr. Castillo with the World Surgical Foundation performs a posterior sagittal anorectoplasty (PSARP) on a 9-month-old male as the second of three operations to treat his imperforate anus. The first was an initial diversion sigmoid colostomy, and the third will be to close the colostomy 6-8 weeks following the PSARP.