Postoperative Management

The postoperative splint was removed after 2 weeks. The patient was placed into a long-arm thumb spica cast for 4 additional weeks. He was then placed in a short-arm thumb spica cast until there was radiographic evidence of scaphoid union at 16 weeks postoperatively. The patient then began wearing a "clam shell" anteroposterior thumb spica splint and performing range-of-motion exercises. The K wires were removed 6 weeks later when the wrist stiffness had improved. An MRI was performed to confirm vascularity throughout the scaphoid, including the graft and proximal pole, and to confirm healing at the two osteosynthesis sites. At this time the postoperative splint was discontinued, and the patient proceeded with continued range of motion and began strengthening exercises.

Peripheral Neuropathy Natural Treatment Options

Peripheral Neuropathy Natural Treatment Options

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