Advertisement

Dry Arthroscopy and Its Applications

  • Francisco del Piñal
Chapter

Abstract

Wrist arthroscopy can be carried out without infusing water as simple traction will suffice to keep the working space clear. The lack of tissue infiltration by fluid keeps soft tissues in pristine condition in the event that open surgery is needed after the arthroscopic exploration. The fact that the dry technique makes watertightness irrelevant opens a new set of possibilities by combining arthroscopy with moderate-sized incisions. Despite the fact that any modification of a technique with which one is familiar can be regarded with major reticence, the advantages of the dry technique well merit giving it a try. As a matter of fact, although in simpler arthroscopic procedures there are probably no differences, the complex ones are much more easily performed under dry conditions. Sooner or later, even the most reluctant wet arthroscopists will have to swap to the dry technique to get the most out of what arthroscopy might offer. On the other hand, any accomplished wrist arthroscopist will have minimal problems to swap from wet to dry and vice versa. Purposefully, to stress the benefits of the dry technique, the procedures dealt with in this chapter rank among the most difficult one can perform arthroscopically, namely distal radius fractures; arthroscopic guided osteotomy; arthroscopic intercarpal arthrodesis; and perilunate fracture dislocations.

Keywords

Bone Graft Compartment Syndrome Distal Radius Fracture Proximal Pole Articular Fragment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    del Piñal F, García-Bernal FJ, Pisani D, Regalado J, Ayala H, Studer A. Dry arthroscopy of the wrist: surgical technique. J Hand Surg Am. 2007;32:119–23.PubMedCrossRefGoogle Scholar
  2. 2.
    Piñal D. Dry arthroscopy and its applications. Hand Clin. 2011;27:335–45.PubMedGoogle Scholar
  3. 3.
    Doi K, Hattori Y, Otsuka K, Abe Y, Yamamoto H. Intra-articular fractures of the distal aspect of the radius: arthroscopically assisted reduction compared with open reduction and internal fixation. J Bone Joint Surg. 1999;81:1093–110.PubMedGoogle Scholar
  4. 4.
    Ruch DS, Vallee J, Poehling GG, Smith BP, Kuzma GR. Arthroscopic reduction versus fluoroscopic reduction in the management of intra-articular distal radius fractures. Arthroscopy. 2004;20:225–30.PubMedCrossRefGoogle Scholar
  5. 5.
    Varitimidis SE, Basdekis GK, Dailiana ZH, Hantes ME, Bargiotas K, Malizos K. Treatment of intra-articular fractures of the distal radius: fluoroscopic or arthroscopic reduction? J Bone Joint Surg Br. 2008;90:778–85.PubMedCrossRefGoogle Scholar
  6. 6.
    del Pinal F, Garcia-Bernal FG, Studer A, et al. Explosion type articular distal radius fractures: technique and results of volar locking plate under dry arthroscopy guidance. Presented at the FESSH Meeting in Poznan (Poland) 2009. Book of Abstracts A0180.Google Scholar
  7. 7.
    del Piñal F. Dry arthroscopy of the wrist: its role in the management of articular distal radius fractures. Scand J Surg. 2008;97:298–304.PubMedGoogle Scholar
  8. 8.
    del Piñal F. Treatment of explosion-type distal radius fractures. In: del Piñal F, Mathoulin C, Luchetti C, editors. Arthroscopic management of distal radius fractures. Berlin: Springer Verlag; 2010. p. 41–65.CrossRefGoogle Scholar
  9. 9.
    del Piñal F. Technical tips for (dry) arthroscopic reduction and internal fixation of distal radius fractures. J Hand Surg Am. 2011;36:1694–705.PubMedCrossRefGoogle Scholar
  10. 10.
    del Piñal F, García-Bernal FJ, Delgado J, Sanmartín M, Regalado J, Cerezal L. Correction of malunited intra-articular distal radius fractures with an inside-out osteotomy technique. J Hand Surg Am. 2006;31:1029–34.PubMedCrossRefGoogle Scholar
  11. 11.
    Edwards III CC, Harasztic J, McGillivary GR, Gutow AP. Intra-articular distal radius fractures: arthroscopic assessment of radiographically assisted reduction. J Hand Surg Am. 2001;26:1036–41.PubMedCrossRefGoogle Scholar
  12. 12.
    Lutsky K, Boyer MI, Steffen JA, Goldfarb CA. Arthroscopic assessment of intra-articular distal radius fractures after open reduction and internal fixation from a volar approach. J Hand Surg Am. 2008;33:476–84.PubMedCrossRefGoogle Scholar
  13. 13.
    del Piñal F. Arthroscopic-assisted osteotomy for intraarticular malunion of the distal radius. In: del Piñal F, Mathoulin C, Luchetti C, editors. Arthroscopic management of distal radius fractures. Berlin: Springer Verlag; 2010. p. 191–209.CrossRefGoogle Scholar
  14. 14.
    del Piñal F, Cagigal L, García-Bernal FJ, Studer A, Regalado J, Thams C. Arthroscopically guided osteotomy for management of intra-articular distal radius malunions. J Hand Surg Am. 2010;35:392–7.PubMedCrossRefGoogle Scholar
  15. 15.
    Ho PC. Arthroscopic partial wrist fusion. Tech Hand Up Extrem Surg. 2008;12:242–65.PubMedCrossRefGoogle Scholar
  16. 16.
    del Piñal F, Klausmeyer M, Thams C, Moraleda E, Galindo C. Early experience with (dry) arthroscopic 4-corner arthrodesis: from a 4-hour operation to a tourniquet time. J Hand Surg Am. 2012;37:2389–99.PubMedCrossRefGoogle Scholar
  17. 17.
    Weiss ND, Molina RA, Gwin S. Arthroscopic proximal row carpectomy. J Hand Surg Am. 2011;36:577–82.PubMedCrossRefGoogle Scholar
  18. 18.
    Park MJ, Ahn JH. Arthroscopically assisted reduction and percutaneous fixation of dorsal perilunate dislocations and fracture-dislocations. Arthroscopy. 2005;21:1153e1–8.Google Scholar
  19. 19.
    Kim JP, Lee JS, Park MJ. Arthroscopic reduction and percutaneous fixation of perilunate dislocations and fracture-dislocations. Arthroscopy. 2012;28:196–203.PubMedCrossRefGoogle Scholar
  20. 20.
    Weil WM, Slade 3rd JF, Trumble TE. Open and arthroscopic treatment of perilunate injuries. Clin Orthop Relat Res. 2006;445:120–32.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Unit of Hand-Wrist and Plastic SurgeryPrivate Practice and Hospital Mutua MontañesaSantanderSpain

Personalised recommendations