Arthroscopic Assisted Treatment of Combined Trapezium and Bennett Fracture-Dislocation.

Trapezium fractures are unusual; however, they represent the third most frequent fracture of the carpal bones. As they usually follow a high-energy trauma, they are associated with distal radius, Bennett, or Rolando fractures in 80% of cases. Traditional treatment options include, closed reduction and percutaneous pinning, or open reduction and internal fixation.

Allinside Anatomic Arthroscopic (3A) Reconstruction of Irreparable TFCC Tear.

 In recent years, new arthroscopic techniques have been introduced to address the irreparable tears of the triangular fibrocartilage complex (TFCC) (Palmer type 1B, Atzei class 4) by replicating the standard Adams-Berger procedure. These techniques, however, show the same limitations of the open procedure in relation to the anatomically defective location of the radial origins of the radioulnar ligaments (RUL) and the risk of neurovascular and/or tendon injury. Aiming to improve the quality of reconstruction and reduce surgical morbidity, a novel arthroscopic technique was developed, with the advantages of reproducing the anatomical origins of the RUL ligaments and providing all-inside tendon graft (TG) deployment and fixation.

Modified technique for basilar thumb osteoarthritis.

The arthroplasty described by Weilby is a reliable procedure for the treatment of stage 2 and 3 basal thumb osteoarthritis. Although the technique provides good pain relief, optimal thumb mobility, and acceptable levels of grip and pinch strength in most cases, it is common to see the thumb collapsing because the interposed knot has disassembled. We have found a more effective way to prepare and stabilize that interposition material.