Radial Tunnel Decompression Surgical Technique

Description

This VTT (Web Video Text Tracks) document provides a detailed instructional narrative on the procedure of dorsal spanning plating, specifically for complex distal radius fractures. The speaker, Anthony Parrino, outlines the indications for this surgical approach, emphasizing its use in cases where immediate weight-bearing is necessary or in complex fractures with limited reconstructive options. He elaborates on a case involving a 63-year-old male who sustained a distal radius fracture from a car accident, detailing the specific anatomical considerations and surgical techniques utilized, including the placement of pins and plates, dissection methods, and the importance of preserving periosteum where possible.



Furthermore, the transcription covers the surgical techniques involved in properly positioning the dorsal spanning plate, ensuring alignment with the metacarpal, and managing soft tissue structures around the wrist. Parrino describes his step-by-step process for incision, dissection, and screw placement, distinguishing between locking and non-locking screws while addressing anatomical considerations such as nerves and tendons.



The document also discusses post-operative considerations, emphasizing the importance of maintaining functionality in the wrist while allowing for forearm rotation, particularly in patients with specific fracture configurations. The entire procedure is framed to educate on both the technical execution and the rationale behind surgical decisions, creating a valuable resource for medical professionals and students in orthopedic surgery.

Specialties