CHAPTER 43

Small/Minor Joint Replacement

Small joints are replaced with Silastic prosthetics to relieve pain and improve function.

Possible equipment needed for the procedure includes a small bone set; a prosthesis; and a mini drill with bits and burrs.

A brief description of the procedure follows:

1. A Bard-Parker scalpel handle #3 with #15 blade is used to make an incision on the dorsal side of the joint.

2. A Weitlaner retractor is placed to expose the joint.

3. A Ruskin-Liston bone cutter is used to cut the distal and proximal ends of the bones of the joint.

4. An Adson rongeur is used to round the bone ends.

5. The mini drill is used to ream both bone canals.

6. The caliper is used to measure the length of the bone for sizing the prosthesis.

7. The Silastic prosthesis is inserted.

8. The ligaments and tendons are reattached as needed.

9. The incision is closed.

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