Arthroscopic Proximal Row Carpectomy Using the Volar Central Portal

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Presentation transcript:

Arthroscopic Proximal Row Carpectomy Using the Volar Central Portal Montserrat Ocampos Hernandez, Ph.D., Fernando Corella Montoya, Ph.D., Miguel del Cerro Gutierrez, M.D., Ricardo Larrainzar Garijo, Ph.D. Arthroscopy Techniques Volume 6, Issue 4, Pages e1427-e1430 (August 2017) DOI: 10.1016/j.eats.2017.05.030 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 Excision of the volar portion of lunate, scaphoid, and triquetrum through the volar central portal for the midcarpal joint in the left wrist of a patient on a traction tower. (A) Burr on the lunate viewed through the dorsal ulnar midcarpal joint. (B) Burr in the scaphoid viewed through the dorsal ulnar midcarpal portal. A periosteal elevator is applied to the distal surface of the scaphoid through the dorsal radial midcarpal portal. (C) Burr on the triquetrum viewed through the dorsal radial midcarpal portal. A periosteal elevator was applied to the distal surface of the triquetrum through the dorsal ulnar midcarpal portal. Arthroscopy Techniques 2017 6, e1427-e1430DOI: (10.1016/j.eats.2017.05.030) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 Excision of the dorsal portion of the lunate, scaphoid and triquetrum through the dorsal midcarpal portals in a patient's left wrist on a traction tower. The view is through the volar central portal for the midcarpal joint. (A) Excision of the scaphoid with a pituitary rongeur through the dorsal midcarpal radial portal. (B) Excision of the lunate with a pituitary rongeur through the dorsal midcarpal radial portal. (C) Excision of the triquetrum with a pituitary rongeur through the dorsal midcarpal ulnar portal. Arthroscopy Techniques 2017 6, e1427-e1430DOI: (10.1016/j.eats.2017.05.030) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 Final result after proximal row carpectomy in a patient's left wrist on a traction tower. The view is through the dorsal midcarpal radial portal from the radial side (A, B) to the ulnar side (C, D). Arthroscopy Techniques 2017 6, e1427-e1430DOI: (10.1016/j.eats.2017.05.030) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions