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DOI: 10.1055/s-0041-1726073
Use of the Triquetrum-Hamate Portal in Four-Corner Wrist Fusion: A Useful Technical Trick[*]
Article in several languages: português | English![](https://www.thieme-connect.de/media/10.1055-s-00042410/202202/lookinside/thumbnails/10-1055-s-0041-1726073_2000377_en-1.jpg)
Abstract
Arthroscopy-assisted partial wrist-fusion techniques are becoming more popular nowadays. It became clearer that avoiding the violation of important ligament and tendinous structures – which is impossible when using the classic open techniques – enables a more biological approach, which is essential for faster healing and improvement in function. We describe the use of the triquetrum-hamate (TH) portal, which is seldomly applied in routine arthroscopic techniques for hand and wrist surgery, as an accessory portal to better perform anterior midcarpal debridement in four-corner fusion. This trick enables an almost complete anterior resection of the capitate and hamate chondral surfaces, increasing the subchondral osseous contact in the midcarpal joint after fixation, thus leading to higher consolidation rates.
Ethics
Ethical approval was not sought for the present study because no patient data will or can be identified and/or released in publishing our technical note. The present study was completed in accordance with the Helsinki Declaration, as revised in 2013.
Trial registration and informed consent are not applicable for the aforementioned reasons.
Financial Support
The present study received no financial support from public, commercial, or not-for-profit sources.
* Study developed at the Departament of Orthopedics Traumatology, Hand Surgery Microsurgery Service, Santa Casa de Misericórdia, São Paulo, Brazil.
Publication History
Received: 18 October 2020
Accepted: 08 January 2021
Article published online:
27 May 2022
© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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Referências
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