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.

Essentials of Human Physiology

Essentials of Human Physiology

This ebook provides an introductory explanation of the workings of the human body, with an effort to draw connections between the body systems and explain their interdependencies. A framework for the book is homeostasis and how the body maintains balance within each system. This is intended as a first introduction to physiology for a college-level course.

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