Arthroscopic Treatment of Type 1B Triangular Fibrocartilage Complex Tear by “Outside- In” Repair Technique Using Transcapsular Transverse Mattress Suture

Slides:

Advertisements

Similar presentations

“Double-Row Rip-Stop” Technique for Arthroscopic Rotator Cuff Repair

Advertisements

Arthroscopic Repair of Medial Transtendinous Rotator Cuff Tears

Management of a Large Acetabular Chondrolabral Injury in a Young Patient With Femoroacetabular Impingement Thomas I. Sherman, M.D., John J. Marcel, M.D.,

Arthroscopic Treatment of Calcific Tendonitis

Dry Arthroscopic Excision of Dorsal Wrist Ganglion

Arthroscopic Treatment of Subscapularis Calcific Tendonitis

Endoscopic All-inside Repair of the Flexor Hallucis Longus Tendon in Posterior Ankle Impingement Patients Akinobu Nishimura, M.D., Ph.D., Shigeto Nakazora,

Biceps Tenodesis: Anatomic Tensioning

Wei-Jen Chen, M.D. Arthroscopy Techniques

Michael S. Laidlaw, M.D., F. Winston Gwathmey, M.D.

Rotator Cerclage Technique for Partial Rotator Cuff Ruptures

Arthroscopically Assisted Modified Jones Procedure

Arthroscopic Scapholunate Capsuloligamentous Repair: Suture With Dorsal Capsular Reinforcement for Scapholunate Ligament Lesion Vicente Carratalá, M.D.,

Eduard Buess, M.D., Michael Hackl, M.D., Peter Buxbaumer, M.D.

Nata Parnes, M. D. , Maryellen Blevins, P. A. -C. , M. P. A. S

Arthroscopic Debridement of the Thrower's Shoulder: Less Is More

Takeshi Kokubu, M. D. , Yutaka Mifune, M. D. , Atsuyuki Inui, M. D

Brenon L. Abernathie, M. D. , Andrew J. Lovy, M. D. , M. S. , Steven M

Arthroscopic Reduction and Fixation of Tibial Spine Avulsion Fractures by a Stainless Steel Wiring Technique Mohamed M. Abdelhamid, M.D., Maysara Abdelhalim.

Neil S. Kumar, M. D. , Cory Edgar, M. D. , Ph. D. , Tiahna Spencer, B

Arthroscopic Treatment of Annular Drive Through and Radial Lateral Collateral Ligament Articular-Side Tear of the Elbow Paolo Arrigoni, M.D., Riccardo.

Rotator Cerclage Technique for Partial Rotator Cuff Ruptures

Arthroscopic Lysis of Adhesions for the Stiff Total Knee Arthroplasty

Arthroscopic Treatment of Iliotibial Band Syndrome

Arthroscopic Proximal Row Carpectomy Using the Volar Central Portal

Subscapularis Repair With the Suture Shuttle Loop Technique

Hip Arthroscopic Portal Bridge Retraction Technique for Improved Peripheral Compartment Visualization Brian E. McGrath, M.D., Joseph B. Kuechle, M.D.,

All-Arthroscopic Knotless Suture Anchor Repair of Triangular Fibrocartilage Complex Fovea Tear by the 2-Portal Technique Yongcheol Park, M.D. Arthroscopy.

Nata Parnes, M. D. , Maryellen Blevins, P. A. -C. , M. P. A. S

Gregory J. Gilot, M. D. , Ahmed K. Attia, M. D. , Andres M. Alvarez, M

Jose Maria Silberberg Muiño, M. D. , Ph. D. , Alessandro Nilo Fulvi, M

Hytham Salem, B. A. , Aaron Carter, M. D. , Fotios Tjoumakaris, M. D

Boguslaw Sadlik, M.D., Ph.D., Martin Wiewiorski, M.D.

Repair of a Chronic Large Meniscal Defect With Implantation of Autogenous Meniscal Fragments Using a Tubular-Shaped Fibrin Clot Tamiko Kamimura, M.D.,

A Novel Arthroscopic Inside-Out Repair Technique for PASTA Lesions

Using a Posterolateral Portal to Pass and Tie the Suture of the Inferior Anchor During Arthroscopic Bankart Repair Walid Reda, M.D., Ph.D., Ahmed Khedr,

Arthroscopic Capsular Repair in the Treatment of Femoroacetabular Impingement Roxanne M. Chow, M.D., William M. Engasser, B.A., Aaron J. Krych, M.D.,

Hiroyuki Kan, M. D. , Ph. D. , Yuji Arai, M. D. , Ph. D

Inside-Out Meniscus Repair

Samuel R. H. Steiner, M. D. , Scott M. Feeley, B. S. , Jeffrey R

Rachel M. Frank, M. D. , Eric J. Cotter, B. S. , David Savin, M. D

Medial Patellofemoral Ligament Reconstruction: A New Technique for Graft Fixation at the Patella Without Implants Sven Shafizadeh, M.D., Maurice Balke,

Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S.

A Transosseous Bone Bridge Repair for Posterior Horn Meniscal Root Tears During Anterior Cruciate Ligament Reconstruction Jonathan M. Frank, M.D., Daniel.

Arthroscopic Medial Retinacular Plication With a Needle-Hole Technique

Eduard Buess, M.D., Michael Hackl, M.D., Peter Buxbaumer, M.D.

Posterior Horn of Medial Meniscal Peripheral Capsular Lesion: The Arthroscopic Repair Technique Working in the Posterior Compartment Pinkawas Kongmalai,

Anirudh K. Gowd, B. S. , Joseph N. Liu, M. D. , Grant H. Garcia, M. D

Arthroscopic Knotless Repair of the Posterior Labrum Using LabralTape

A Percutaneous Knotless Technique for SLAP Repair

A Novel and Cheap Method of Outside-In Meniscal Repair for Anterior Horn Tears Simon M. Thompson, M.B.B.S., B.Sc.(Hons), M.Sc., M.D.(Res), F.R.C.S.(Tr&Orth),

Arthroscopic Repair of Posterior Glenohumeral Capsular Rupture With Concomitant Anterior and Posterior Labrum Detachment Robert A. Duerr, M.D., John.

Transosseous Medial Meniscal Root Repair Using a Modified Mason-Allen Suture Configuration Chad D. Lavender, M.D., Shane R. Hanzlik, M.D., Paul E. Caldwell,

Sivashankar Chandrasekaran, M. B. B. S. , F. R. A. C. S. , S

“Double-Row Rip-Stop” Technique for Arthroscopic Rotator Cuff Repair

Single Portal Subscapular Repair by a Cross Shuttle Loop Technique

Arthroscopic Scapholunate Capsuloligamentous Repair: Suture With Dorsal Capsular Reinforcement for Scapholunate Ligament Lesion Vicente Carratalá, M.D.,

Arthroscopic Saucerization and Repair of Discoid Lateral Meniscal Tear

Avinesh Agarwalla, B. S. , Richard N. Puzzitiello, B. S

Single Portal Subscapular Repair by a Cross Shuttle Loop Technique

Arthroscopic Lysis of Adhesions for the Stiff Total Knee Arthroplasty

Arthroscopic Medial Retinacular Plication With a Needle-Hole Technique

Rachel M. Frank, M. D. , William Slikker, M. D. , Laith Al-Shihabi, M

Arthroscopic Transosseous Bony Bankart Repair

Arthroscopically Assisted Modified Jones Procedure

Benjamin G. Domb, M. D. , Asheesh Gupta, M. D. , Christine E. Stake, M

Dry Arthroscopic Excision of Dorsal Wrist Ganglion

All-Inside Arthroscopic Meniscal Repair With Meniscal Cinch

Paul E. Caldwell, M. D. , Adam J. Heisinger, D. O. , Sara E

Arthroscopic Treatment of Iliotibial Band Syndrome

Presentation transcript:

Arthroscopic Treatment of Type 1B Triangular Fibrocartilage Complex Tear by “Outside- In” Repair Technique Using Transcapsular Transverse Mattress Suture Maysara Abdelhalim Bayoumy, M.D., Amr El-Sayed, M.D., Hesham A. Elkady, M.D., Waleed Reyad Saleh, M.D., Hatem G. Said, M.D., F.R.C.S.(Ortho), Abdelaziz M. Ali, M.Cs. Arthroscopy Techniques Volume 6, Issue 5, Pages e1581-e1586 (October 2017) DOI: 10.1016/j.eats.2017.05.031 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 Intraoperative photo of traction tower during arthroscopic triangular fibrocartilage complex repair (Linvatec). Arthroscopy Techniques 2017 6, e1581-e1586DOI: (10.1016/j.eats.2017.05.031) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 Instruments used in triangular fibrocartilage complex repair: 30° 2.3-mm lens, 3-mm cannula with obturator, 3-mm shaver, probe, mosquito forceps, two 18-gauge needles. Arthroscopy Techniques 2017 6, e1581-e1586DOI: (10.1016/j.eats.2017.05.031) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 The arthroscope in the 3-4 portal of the right wrist joint showing the type 1B TFCC tear, with the probe in the 6R portal pointing to the site of the tear. (TFCC, triangular fibrocartilage complex.) Arthroscopy Techniques 2017 6, e1581-e1586DOI: (10.1016/j.eats.2017.05.031) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 4 The arthroscope in the 3-4 portal of the right wrist joint showing debridement of the edge of the tear by shaver through the 6R portal. Arthroscopy Techniques 2017 6, e1581-e1586DOI: (10.1016/j.eats.2017.05.031) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 5 Diagram of the right wrist showing the incision on the ulnar side of the wrist to allow passage and tying of stitch with protection of the dorsal sensory branches of the ulnar nerve. Reprinted from McAdams with permission from Elsevier.1 Arthroscopy Techniques 2017 6, e1581-e1586DOI: (10.1016/j.eats.2017.05.031) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 6 With the arthroscope in the 3-4 portal of the right wrist, the first needle loaded with no. 2-0 PDS suture is passed from outside through the capsule and then bellow the TFCC exiting radial to the site of the tear. (TFCC, triangular fibrocartilage complex.) Arthroscopy Techniques 2017 6, e1581-e1586DOI: (10.1016/j.eats.2017.05.031) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 7 With the arthroscope in the 3-4 portal of the right wrist, the second straight needle loaded with a loop is inserted at a point dorsal to the first needle to shuttle the first suture. Arthroscopy Techniques 2017 6, e1581-e1586DOI: (10.1016/j.eats.2017.05.031) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 8 With the arthroscope in the 3-4 portal of the right wrist, the mattress suture is tied on the capsule through the ulnar-side incision. Arthroscopy Techniques 2017 6, e1581-e1586DOI: (10.1016/j.eats.2017.05.031) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions