Wrist Arthroscopy With LT Pinning and Open Ulnar Shortening Osteotomy

Description

This video transcript details a surgical procedure focusing on a middle-aged female patient undergoing arthroscopy to evaluate ulnar impaction. The physician, Alejandro Badia, discusses the preliminary findings from X-rays indicating significant ulnar positive variance and signs of TFCC (triangular fibrocartilage complex) damage, outlining the surgical approach through portals to investigate the wrist joint.



The video continues with the process of insufflating the joint and utilizing a shaver for synovectomy while confirming the presence of joint instability. The procedure includes the assessment of carpal bones and identification of a grade 3 lunate-triquetral ligament tear, necessitating the use of radiofrequency to address this issue.



The surgical team progresses to perform ulnar shortening using a compression plate and specific drill technology to ensure an accurate fit and secure bone fragments effectively. The process is minimally invasive, using smaller incisions to reduce soft tissue trauma. Following the insertion of k-wires and screws, the ulnar positive variance is corrected.



Post-surgery, the transcript notes the patient's recovery, with indications of healing at the osteotomy site after eight weeks, which showcases the surgery's success. The entire operation is highlighted as being performed under regional anesthesia, emphasizing the effectiveness of the ulnar shortening osteotomy in treating the patient's condition.

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