Arthroscopic Interphalangeal Arthrodesis of the Thumb

Slides:



Advertisements
Similar presentations
Endoscopic Removal of Loose Bodies of the Posterior Ankle Extra-articular Space Arising From Flexor Hallucis Longus Tenosynovial Osteochondromatosis 
Advertisements

Extensor Tendoscopy of the Wrist
Endoscopic Management of Osgood-Schlatter Disease
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 
Endoscopic Ganglionectomy of the Elbow
Arthroscopic Capsular Release of the Talocalcaneonavicular Joint
Arthroscopic Resection of Too-Long Anterior Process of the Calcaneus
Endoscopic Ganglionectomy of the Volar Radial Wrist Ganglion
Endoscopic Resection of Lateral Synovial Cyst of the Knee
Arthroscopically Assisted Modified Jones Procedure
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 
Endoscopic Release of Master Knot of Henry
Posterior Tibial Tendoscopy: Endoscopic Synovectomy and Assessment of the Spring (Calcaneonavicular) Ligament  Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin),
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 
Endoscopic Resection of Lipoma of the Patellar Tendon
Endoscopic Subtotal Fasciectomy of the Foot
Flexor Pollicis Longus Tendoscopy
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 
Endoscopic Ganglionectomy of Palmar Ganglion via Flexor Carpi Radialis Tendoscopy  Tun Hing Lui, M.B.B.S.(H.K.), F.R.C.S.(Edin.), F.H.K.A.M., F.H.K.C.O.S. 
Revision Lapidus Arthrodesis by Bone Endoscopy
Endoscopic Resection of Peroneal Tubercle
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 
Alessio Bernasconi, M. D. , Nazim Mehdi, M. D. , François Lintz, M. D
Endoscopic Decompression of a Gouty Tophus at the Hand Dorsum
Endoscopic Interdigital Neurectomy of the Foot
Arthroscopic Tarsometatarsal Arthrodesis
Endoscopic Resection of Medial Extra-articular Cysts of the Knee
Endoscopic Superior Peroneal Retinaculum Reconstruction
Endoscopic Release of Posterior Tibial Tendon Sheath for Stenosing Tenosynovitis of Posterior Tibial Tendon  Adam Yiu Chung Lau, M.B.B.S., Tun Hing Lui,
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 
Arthroscopic Taloplasty for an Anterolateral Snapping Ankle
Endoscopic Intermetatarsal Ligament Decompression
Arthroscopic Triple Arthrodesis in Management of Chronic Flatfoot Deformity  Tun Hing Lui, M.B.B.S.(H.K.), F.R.C.S.(Edin.), F.H.K.A.M., F.H.K.C.O.S.  Arthroscopy.
Endoscopic Synovectomy of the Ulnar Bursa of the Palm of the Hand
Tendoscopic Synovectomy of Tibialis Anterior Tendon of the Ankle
Endoscopic Distal Tibiofibular Syndesmosis Arthrodesis
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 
Modified Arthroscopic Brostrom Procedure With Bone Tunnels
Endoscopic Resection of Carpometacarpal Boss and Synovectomy of the Second Carpometacarpal Joint  Tun Hing Lui, M.B.B.S. (H.K.), F.R.C.S. (Edin.), F.H.K.A.M.,
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 
Flexor Hallucis Longus Tenosynovitis and First Metatarsophalangeal Synovitis After Penetrating Nail Prick Injury: Treated by Zone 3 Flexor Hallucis Longus.
Endoscopic Fasciotomy of the Superficial and Deep Posterior Compartments of the Leg  Tun Hing Lui, M.B.B.S.(H.K.), F.R.C.S.(Edin.), F.H.K.A.M., F.H.K.C.O.S. 
Naviculocuneiform Arthroscopy
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 
Arthroscopic Arthrodesis of the Lesser Ray Tarsometatarsal Joints: 2-Portal Technique  Tun Hing Lui, M.B.B.S.(H.K.), F.R.C.S.(Edin.), F.H.K.A.M., F.H.K.C.O.S. 
Chun Lok Chow, M. B. Ch. B. , M. R. C. S. Ed. , Tun Hing Lui, M. B. B
Endoscopic Resection of the Tibialis Anterior Tendon Bursa
Endoscopic Interdigital Neurectomy of the Foot
Endoscopic Adhesiolysis of Flexor Hallucis Longus Muscle
Endoscopic Distal Tibiofibular Syndesmosis Arthrodesis
Arthroscopic Arthrodesis of the First Metatarsophalangeal Joint in Hallux Valgus Deformity  Tun Hing Lui, M.B.B.S.(H.K.), F.R.C.S.(Edin.), F.H.K.A.M.,
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 
Decompression of Posterior Ankle Impingement With Concomitant Anterior Ankle Pathology by Posterior Ankle Arthroscopy in the Supine Position  Tun Hing.
Yiu Ho Sin, M. B. Ch. B. , Tun Hing Lui, M. B. B. S. (HK), F. R. C. S
Peroneus Longus Tendoscopy at the Sole
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 
Alessio Bernasconi, M. D. , Nazim Mehdi, M. D. , François Lintz, M. D
Flexor Pollicis Longus Tendoscopy
Endoscopic Resection of the Tibialis Anterior Tendon Bursa
Arthroscopically Assisted Modified Jones Procedure
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 
Endoscopic Subtotal Fasciectomy of the Foot
Flexor Hallucis Longus Tenosynovitis and First Metatarsophalangeal Synovitis After Penetrating Nail Prick Injury: Treated by Zone 3 Flexor Hallucis Longus.
Endoscopic Fasciotomy of the Superficial and Deep Posterior Compartments of the Leg  Tun Hing Lui, M.B.B.S.(H.K.), F.R.C.S.(Edin.), F.H.K.A.M., F.H.K.C.O.S. 
Endoscopic Gastrocnemius Intramuscular Aponeurotic Recession
Endoscopic Accessory Navicular Synchondrosis Fusion
Presentation transcript:

Arthroscopic Interphalangeal Arthrodesis of the Thumb Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S.  Arthroscopy Techniques  Volume 5, Issue 6, Pages e1291-e1296 (December 2016) DOI: 10.1016/j.eats.2016.07.021 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 Arthroscopic interphalangeal arthrodesis of the right thumb. Preoperative anteroposterior (A) and lateral (B) radiographs show degeneration of the interphalangeal joint (arrowheads) of the thumb. Arthroscopy Techniques 2016 5, e1291-e1296DOI: (10.1016/j.eats.2016.07.021) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 Arthroscopic interphalangeal arthrodesis of the right thumb. Interphalangeal arthroscopy of the thumb is performed via the dorsal-radial (DRP) and dorsal-ulnar (DUP) portals. Arthroscopy Techniques 2016 5, e1291-e1296DOI: (10.1016/j.eats.2016.07.021) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 Arthroscopic interphalangeal arthrodesis of the right thumb. The dorsal-radial portal is the viewing portal. The remaining articular cartilage of the interphalangeal joint is debrided with an arthroscopic shaver via the dorsal-ulnar portal. (DP, articular surface of the distal phalanx; PP, distal articular surface of the proximal phalanx.) Arthroscopy Techniques 2016 5, e1291-e1296DOI: (10.1016/j.eats.2016.07.021) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 4 Arthroscopic interphalangeal arthrodesis of the right thumb. The dorsal-radial portal is the viewing portal. Loose body is removed by a hemostat via the dorsal-ulnar portal. (DP, articular surface of the distal phalanx; LB, loose body; PP, distal articular surface of the proximal phalanx.) Arthroscopy Techniques 2016 5, e1291-e1296DOI: (10.1016/j.eats.2016.07.021) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 5 Arthroscopic interphalangeal arthrodesis of the right thumb. The dorsal-radial portal is the viewing portal. Microfracture of the distal articular surface of the proximal phalanx (PP) is performed by an arthroscopic awl via the dorsal-ulnar portal. Arthroscopy Techniques 2016 5, e1291-e1296DOI: (10.1016/j.eats.2016.07.021) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 6 Arthroscopic interphalangeal arthrodesis of the right thumb. The dorsal-radial portal is the viewing portal. Drilling of the articular surface of the distal phalanx (DP) is performed with a K-wire via the dorsal-ulnar portal. (PP, distal articular surface of the proximal phalanx.) Arthroscopy Techniques 2016 5, e1291-e1296DOI: (10.1016/j.eats.2016.07.021) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 7 Arthroscopic interphalangeal arthrodesis of the right thumb. (A) The distal phalanx of the thumb is translated dorsally (arrow) and the K-wire is inserted into the center of the base of the distal phalanx. The wire is propagated distally and exit at the volar surface of the distal phalanx. (B) The joint is reduced and positioned 10°-15° flexion and neutral in the coronal plane. The wire is propagated proximally to the proximal phalanx and engaged at its dorsal cortex. (C) The headless screw is inserted along the wire. (D) Intraoperative fluoroscopy confirms the proper placement of the screw. Arthroscopy Techniques 2016 5, e1291-e1296DOI: (10.1016/j.eats.2016.07.021) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions