PMC4821964_01
Preoperative radiographs.
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fig1
The AP radiograph reveals disruption of the continuation of arc I between the proximal border of the triquetrum and the proximal border of the trapezium, with the trapezium displaced in a radial direction (Figure 1).
Intraoperative radiographs.
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One wire passed from trapezium to scaphoid, one wire passed from trapezium to capitate, and one wire passed from trapezium to trapezoid (Figure 2).
Radiographs at 6 weeks.
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The patient remained in cast for a total of six weeks at which point the percutaneous wires were removed in the outpatient department and the hand and wrist were mobilized (Figure 3).
Radiographs at 3 months.
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He had returned to full manual work activities at 8 weeks postoperatively and was no longer requiring analgesia (Figure 4).