Technical Tips for (Dry) Arthroscopic Reduction and Internal Fixation of Distal Radius Fractures

Piñal, Francisco del

doi:10.1016/j.jhsa.2011.07.021

Cited by 75 publications

(34 citation statements)

References 26 publications

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“…It has been recommended that the procedure be performed more than 3 days after the injury, 36 or to use a "dry" technique. 37 There have been isolated reports of other complications, among which pyogenic arthritis after using the Ho:YAG laser in an diabetic patient, 38 extensor tendon sheath fistula, 39,40 and a case of pseudoaneurysm of the radial artery in a hemophilic patient after an arthroscopic treatment of a volar wrist ganglion. 41 This study has several limitations.…”

Section: Discussionmentioning

confidence: 99%

Complications of Wrist Arthroscopy: A Multicenter Study Based on 10,107 Arthroscopies

Mathoulin

Leclercq

2016

Jnl Wrist Surg

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Since its initial description, 1 wrist arthroscopy (WA) has been increasingly performed, and is now a routine procedure for surgeons dealing with the wrist, not only for diagnosis but mainly for the treatment of pathologies of the wrist. It is usually regarded as a safe procedure. Complications have been reported in the literature as rare (1.2-7.9%) and are mostly minor.2-9 Only 0.9 to 1.1% of the cases are reported as "serious" complications. 7,9 Reports from the literature involve mostly personal series 3-9 with numbers of WA ranging from 84 to 463. There is only one systematic review of the literature, including 895 WA procedures, with a 4.7% complication rate. 2There is currently no large-scale multicenter study of complications published in the literature. The primary purpose of this study was to evaluate the incidence and nature of complications, based on a very large number of patients recruited via a retrospective multicenter study. The second purpose was to investigate about a potential learning curve, as this study includes both experienced and Keywords ► wrist arthroscopy ► complications ► large multicenter review ► learning curve AbstractBackground Wrist arthroscopy is now a routine procedure, regarded as safe. Complications are reported in the literature as being rare and mostly minor. Purpose The two goals of this study were to evaluate the incidence and nature of complications based on a very large multicenter retrospective study, and to investigate about a potential learning curve. Methods The authors sent a detailed questionnaire to all members of the European Wrist Arthroscopy Society (EWAS), inquiring about the number and types of complications encountered during their practice of wrist arthroscopy, and about their experience with the technique. Results A total of 36 series comprising 10,107 wrist arthroscopies were included in the study. There were 605 complications (5.98% of the cases), of which 5.07% were listed as serious and 0.91% as minor. The most frequent ones were failure to achieve the procedure (1.16%), and nerve lesions (1.17%). Cartilage lesions and complex regional pain syndrome each occurred in 0.50% cases. Other complications (wrist stiffness, loose bodies, hematomas, tendon lacerations) were less frequent. Breaking down of the data according to each surgeon's experience of the technique showed a significant relationship with the rate of complications, the threshold for a lower complication rate being approximately 25 arthroscopies a year and/or greater than 5 years of experience. Conclusion Although the global incidence of complications was in keeping with the literature, the incidence of serious complications was much higher than previously reported. There is a significant learning curve with the technique of wrist arthroscopy, both in terms of volume and experience.

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Section: Discussionmentioning

confidence: 99%

Complications of Wrist Arthroscopy: A Multicenter Study Based on 10,107 Arthroscopies

Mathoulin

Leclercq

2016

Jnl Wrist Surg

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“…63 This has led others to support the use of dry arthroscopy to reduce the risk of fluid extravasation. 64 Bone grafting and bone graft substitutes Bone grafts may be used as an adjunct to fixation and may be divided into 2 major categories: osteoinductive, which stimulates bone formation, and osteoconductive, which provides structural support. The metaphysis of the distal radius is well vascularized; therefore, the use of bone graft to achieve union is rarely necessary.…”

Section: Adjunctive Techniques Arthroscopically Assisted Reductionmentioning

confidence: 99%

Management of Severely Comminuted Distal Radius Fractures

Brogan

Richard

Ruch

et al. 2015

The Journal of Hand Surgery

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“…Once the articular surface is adequately reduced, locking pegs or screws are inserted through the distal plate under direct arthroscopic visualization. 5 TRIANGULAR FIBROCARTILAGE COMPLEX REPAIR DWA is ideal for repair of peripheral TFCC tears. Larger portals and lack of concern regarding distension allow for rapid inside-out or fully arthroscopic repair.…”

Section: Distal Radius Fracturesmentioning

confidence: 99%