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Radiopaque Element to Evaluate Adequacy of Debridement of Bony Lesions

Pulos, Nicholas MD; Shin, Alexander Y. MD

Techniques in Hand & Upper Extremity Surgery: September 2017 - Volume 21 - Issue 3 - p 77–80
doi: 10.1097/BTH.0000000000000153
Techniques
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A technique for using an x-ray detectable radiopaque element from a surgical sponge to assess the adequacy of debridement of carpal bone cysts, Kienböck disease (lunate avascular necrosis), enchondroma of the digits, and scaphoid nonunions is described. The technique is simple to perform, inexpensive, and presents minimal additional risk to the patient. The technique has been used over the past 16 years and has enabled adequate debridement of these hand and wrist maladies by radiographically demonstrating the adequacy of the debridement to be bone grafted. It avoids the problems associated with liquid contrast dye and has proven to be very safe, effective, and inexpensive.

Department of Orthopaedic Surgery, Division of Hand and Microvascular Surgery, Mayo Clinic

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Alexander Y. Shin, MD, Department of Orthopaedic Surgery, Division of Hand and Microvascular Surgery, Mayo Clinic, 200 First Street, SW, Rochester, MN 55905. E-mail: shin.alexander@mayo.edu.

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