The Upper Hand: Chuck & Chris Talk Hand Surgery Wrist Arthroscopy with Sanj Kakar, part 2
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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.
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Transitioning to Dry Arthroscopy
- Transition slowly to dry arthroscopy, starting with simple cases like TFCC debridement or ganglia removal.
- Use a small syringe (10cc) with a 2mm shaver for efficient lavage and visualization.
Dry Arthroscopy Technique
- Insert the needle and shaver quickly to minimize synovial fluid and bubbles.
- Clear the camera lens by wiping it on soft tissue, using an automatic washout, or a micro wipe.
Wrist Arthroscopy Tips
- Stop insufflating the wrist joint, as it's unnecessary for visualization.
- Use a 2mm or 3mm shaver, depending on your preference and the specific case.