Wrist Arthroscopy with LT Pinning, and ECTR using Disposable Kit

Description

In this detailed video presentation, Dr. Alejandro Badia demonstrates a wrist arthroscopy procedure performed on a laborer suffering from secondary numbness in the hand. The procedure includes a carpal tunnel release and highlights significant aspects of wrist joint assessment. The expert begins by insufflating the joint, explaining that the rapid fluid introduction suggests notable internal derangement of the wrist. Using the 3-4 portal, Dr. Badia performs a thorough evaluation of the triangular fibrocartilage complex (TFCC) and identifies disruptions along its periphery, indicating no need for a formal repair but necessitating radiofrequency treatment to tighten and reduce redundancy in the frayed ligament.



As the procedure progresses, Dr. Badia utilizes various portals, including the radial midcarpal portal, to assess carpal stability, finding a bare spot indicative of instability, and confirming the integrity of the scapholunate ligament. The surgical strategy involves judicious thermal shrinkage of the ligaments and pinning the area to enable healing and support ligament formation post-surgery.



The video transitions to the carpal tunnel decompression phase, employing an endoscopic approach with a new all-disposable system to enhance visualization while ensuring careful maneuvering to avoid nerves and tendons. Dr. Badia describes the importance of thoroughly releasing the transverse carpal ligament to alleviate pressure on the median nerve and minimize patient discomfort.



Post-surgical care is discussed, emphasizing the quick recovery of range of motion within weeks, manipulation under sedation, and a focus on therapy to restore strength before returning to work and sports. This minimally invasive procedure exemplifies a modern approach to diagnosing and treating wrist disorders, offering both therapeutic and investigative insights.

Specialties