Case Reports in Orthopedics / 2015 / Article / Fig 4

Case Report

Can Total Wrist Arthroplasty Be an Option for Treatment of Highly Comminuted Distal Radius Fracture in Selected Patients? Preliminary Experience with Two Cases

Figure 4

Case report 2 (preoperative and surgical procedures): (a) initial AP and lateral radiographs; (b) coronary and sagittal CT images after removal of external fixateur and percutaneous pinning demonstrating a step-off in the radial articular surface of 3 mm and widened scapholunate gap (line) with midcarpal OA (arrow); (c) intraoperative clinical photo after Maestro WRS insertion by using a scaphoid augment of the carpal component after complete scaphoid excision (arrow) and resected ulnar head (arrow); (d) intraoperative AP and lateral fluoroscopy showing correct position of implant and the leakage of cement from one fixateur pin-hole (arrows).

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