- Training
- 28/01/2021
- USA
Arthroscopic Foveal TFCC Repair
Description
In this presentation, Sanj Kakar discusses the surgical procedures involved in Arthroscopic Foveal TFCC repair. He opens with a case study of a 25-year-old man who incurred a significant injury to his left wrist, leading to TFCC instability and pain, despite initial non-operative treatments. Kakar emphasizes the importance of a comprehensive examination of the wrist and presents details from the patient’s MRI, indicating a foveal disruption of the TFCC.
He introduces relevant anatomical concepts using a mnemonic—'Rupert'—to explain the stabilizing structures of the distal radioulnar joint (DRUJ) and the TFCC's anatomy. The discussion transitions into the evaluation of ulnar wrist pain, underscoring the multifactorial nature of the conditions affecting the wrist.
Kakar outlines the indications for surgical intervention, highlighting the importance of identifying whether the TFCC is repairable or whether more extensive procedures are necessary due to poor soft tissue quality or arthritis.
The technical details of the arthroscopic technique for TFCC repair are conveyed step-by-step, including the insertion of portals, debridement of synovitis, and identification of the instability. He explains the utilization of various tools and techniques to ensure a successful repair, such as using K-wires and 2-0 PDS sutures.
The post-operative plan for the patient includes immobilization strategies and a rehabilitation protocol designed to restore full function while minimizing complications. Kakar concludes with insights on the expected outcomes of double-pass suture repairs and the patient’s progress post-surgery, citing research that showcases favorable results following similar procedures.
Part of: Surgical Techniques and Training Collection
"Arthroscopic Foveal TFCC Repair" is included in the following Surgical Techniques and Training playlist: