The Upper Hand: Chuck & Chris Talk Hand Surgery

Wrist Arthroscopy with Sanj Kakar, part 2

Jan 5, 2025

Sanj Kakar, a renowned hand surgeon from the Mayo Clinic, shares groundbreaking insights on wrist arthroscopy. He explores the innovative technique of dry arthroscopy, discussing its efficiency and the challenges of diagnosing TFCC tears. Kakar also highlights the revolutionary DREJ arthroscopy and nanoscope technology, emphasizing their roles in minimally invasive treatments. The conversation delves into scapholunate ligament injuries and the evolving approaches to wrist surgery, making complex techniques accessible for both practitioners and enthusiasts.

42:52

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Episode guests

Sanj Kakar

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Episode notes

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Quick takeaways

Dry arthroscopy enhances surgical efficiency and visibility while reducing complications, particularly in treating distal radius fractures.

Thorough evaluation techniques for the Triangular Fibrocartilage Complex (TFCC) are crucial for accurate wrist injury diagnoses and management.

Deep dives

The Shift to Dry Arthroscopy

Dry arthroscopy allows for greater efficiency in procedures compared to the traditional wet method. Surgeons can manipulate larger instruments and achieve better visualization since the absence of fluid reduces obscurity caused by soft tissue swelling. Many surgeons have transitioned from wet to dry methods after witnessing the benefits in practice, such as diminished risks of complications like compartment syndrome. Specifically, dry arthroscopy has been particularly useful in treating conditions like distal radius fractures, where fluid presence can hamper visibility and control.

Intro

2min

Advancements in Dry Arthroscopy for Wrist Surgery

14min

Revolutionizing Wrist Diagnosis: DREJ Arthroscopy and Nanoscope Technology

6min

Advancements in Wrist Arthroscopy

9min

Navigating Scapholunate Ligament Injuries: Surgical Approaches and Techniques

5min

Navigating Wrist Arthroscopy Challenges

6min

Chuck and Chris are joined again by Sanj Kakar from the Mayo Clinic. Sanj is a high volume arthroscopist and luminary in the field. He is leading the way with contributions to the field and new ways of considering wrist pathology. If you missed episode 1, we would recommend a listen but each episode stands alone.

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See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.

See https://checkpointsurgical.com or www.nervemaster.com for information about the company and its products as well as good general information about nerve pathology.

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As always, thanks to @iampetermartin for the amazing introduction and conclusion music.

Complete podcast catalog at theupperhandpodcast.wustl.edu.

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