KinematX Total Wrist Arthroplasty

Description

The instructional video presented by Scott Wolfe from New York details the KinematX midcarpal total wrist arthroplasty, contrasting it with traditional wrist arthroplasty designs. It highlights the innovative design choices of the KinematX, such as its polyethylene liner placement to minimize wear and improves the center of rotation mimicking the natural wrist's mechanics. The procedure is illustrated in an operating room setting with a patient suffering from debilitating arthritis, showcasing pre-operative assessments and surgical techniques including incision types, nerve protection, and soft tissue considerations.



Wolfe explains the surgical steps with great detail, touching upon aspects such as incisions, the importance of maintaining soft tissue integrity, and the meticulous approach to bone preparation, including the broaching and seating of the radial and carpal components. The video thoroughly discusses the reasoning behind surgical choices, the necessity of fluoroscopic guidance, and post-operative care, highlighting the early outcomes of the first patients benefitting from this innovative technique.

Specialties