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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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.
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