Arthroscopy and upper limb surgery | WebSurg, the online university of IRCAD

Arthroscopic Wafer procedure for ulnar carpal abutment

Ulnocarpal abutment is the inversion of the distal radio ulnar index with a positive ulnar variance (long ulna) and is most frequently secondary to distal radius fractures. The relative ‘shortening of the radius’ leads to a conflict between the ulnar head and the proximal lunatum. The natural evolution of this condition is usually a central perforation of the TFCC complex. This arthrogenic lesion eventually leads to arthritis of the medial proximal lunate as well as the ulnar head. Persistence of the abutment may further lead to lunotriquetral dissociation. There are many management options for the distal radioulnar component of distal radius malunions and the therapeutic choice depends on clinical evaluation and imaging of this joint. In this video, we present the arthroscopic treatment, which remains the simplest and best solution for the patients.

C Mathoulin

Surgical intervention

Arthroscopic Wafer procedure for ulnar carpal abutment

Ulnocarpal abutment is the inversion of the distal radio ulnar index with a positive ulnar variance (long ulna) and is most frequently secondary to distal radius fractures. The relative ‘shortening of the radius’ leads to a conflict between the ulnar head and the proximal lunatum. The natural evolution of this condition is usually a central perforation of the TFCC complex. This arthrogenic lesion eventually leads to arthritis of the medial proximal lunate as well as the ulnar head. Persistence of the abutment may further lead to lunotriquetral dissociation. There are many management options for the distal radioulnar component of distal radius malunions and the therapeutic choice depends on clinical evaluation and imaging of this joint. In this video, we present the arthroscopic treatment, which remains the simplest and best solution for the patients.

Triangular fibrocartilage complex (TFCC) dorsal distal repair

The triangular fibrocartilage complex (TFCC) is actually more complex than it appears to be. Arthroscopy of the wrist has helped to better understand the various insertions of this proximal and distal triangular complex and to detect these lesions. The adapted treatment of these lesions made it possible to prevent failures of the conventional arthroscopic reinsertions with the disappearance of the associated distal ulnar instabilities when only a part of the problem was treated.
The healing potential of the TFCC largely depends on its vascularization. This video shows the arthroscopic repair of a peripheral distal tear of the TFCC with the in-out technique.

C Mathoulin

Surgical intervention

Triangular fibrocartilage complex (TFCC) dorsal distal repair

The triangular fibrocartilage complex (TFCC) is actually more complex than it appears to be. Arthroscopy of the wrist has helped to better understand the various insertions of this proximal and distal triangular complex and to detect these lesions. The adapted treatment of these lesions made it possible to prevent failures of the conventional arthroscopic reinsertions with the disappearance of the associated distal ulnar instabilities when only a part of the problem was treated.
The healing potential of the TFCC largely depends on its vascularization. This video shows the arthroscopic repair of a peripheral distal tear of the TFCC with the in-out technique.

Arthroscopic interposition in scapholunate advanced collapse wrist arthritis, stage 2 (SLAC 2)

Scapholunate advanced collapse (SLAC) is a form of degenerative arthritis of the wrist which is commonly a sequela of scapholunate instability. SLAC follows a typical pattern which begins with arthritis of the radial styloid (stage 1). Stage 2 is marked by the involvement of the entire scaphoid fossa and the scaphoid while arthritic changes involve the midcarpal joint in stage 3. Stage 2 SLAC is typically managed with proximal row carpectomy (PRC), which preserves some degree of wrist flexion-extension arc and reduces pain. However, major drawbacks of this procedure are as follows: incongruence between lunate fossa and capitate, subsequent arthritic changes, and reduced grip strength originating from reduced carpal height. This video shows a recently described salvage procedure, namely arthroscopic interposition tendon arthroplasty (AITA), which attempts to preserve wrist motion and carpal height simultaneously restoring radiocarpal joint space and reducing pain, by interpositioning tendon graft in the radiocarpal joint.

C Mathoulin

Surgical intervention

Arthroscopic interposition in scapholunate advanced collapse wrist arthritis, stage 2 (SLAC 2)

Scapholunate advanced collapse (SLAC) is a form of degenerative arthritis of the wrist which is commonly a sequela of scapholunate instability. SLAC follows a typical pattern which begins with arthritis of the radial styloid (stage 1). Stage 2 is marked by the involvement of the entire scaphoid fossa and the scaphoid while arthritic changes involve the midcarpal joint in stage 3. Stage 2 SLAC is typically managed with proximal row carpectomy (PRC), which preserves some degree of wrist flexion-extension arc and reduces pain. However, major drawbacks of this procedure are as follows: incongruence between lunate fossa and capitate, subsequent arthritic changes, and reduced grip strength originating from reduced carpal height. This video shows a recently described salvage procedure, namely arthroscopic interposition tendon arthroplasty (AITA), which attempts to preserve wrist motion and carpal height simultaneously restoring radiocarpal joint space and reducing pain, by interpositioning tendon graft in the radiocarpal joint.

Arthroscopic scaphotrapeziotrapezoidal (STT) joint arthroplasty

Scaphotrapeziotrapezoid (STT) joint osteoarthritis is less known than other types of wrist arthritis.
This disease accounts for only 13% of all wrist arthritis sites. Isolated lesions of this joint are rare and their therapeutic management is complex.
The only treatment proposed used to be STT arthrodesis, a technically difficult procedure which caused numerous complications.
Pseudoarthrosis is common, and STT arthrodesis has been incriminated in the occurrence of radioscaphoid osteoarthritis. Techniques of distal resection combined with interposition of biological tissues such as tendons (flexor carpi radialis) was described in the 1990s. In this video, we present arthroscopic interposition of pyrocarbon implant, a safe and convenient technique for patients, with long-lasting favorable results.

C Mathoulin

Surgical intervention

Arthroscopic scaphotrapeziotrapezoidal (STT) joint arthroplasty

Scaphotrapeziotrapezoid (STT) joint osteoarthritis is less known than other types of wrist arthritis.
This disease accounts for only 13% of all wrist arthritis sites. Isolated lesions of this joint are rare and their therapeutic management is complex.
The only treatment proposed used to be STT arthrodesis, a technically difficult procedure which caused numerous complications.
Pseudoarthrosis is common, and STT arthrodesis has been incriminated in the occurrence of radioscaphoid osteoarthritis. Techniques of distal resection combined with interposition of biological tissues such as tendons (flexor carpi radialis) was described in the 1990s. In this video, we present arthroscopic interposition of pyrocarbon implant, a safe and convenient technique for patients, with long-lasting favorable results.

Arthroscopic capsuloligamentous suture with anchor for scapholunate dissociation EWAS stage 4

An anatomical and biomechanical study has recently shown that detachment of the scapholunate (SL) ligament from the dorsal capsuloligamentous scapholunate septum (DCSS) and dorsal intercarpal ligament (DIC) worsens scapholunate dissociation. This knowledge has revolutionized the treatment of scapholunate dissociation and formed the basis of the arthroscopic repair of the scapholunate ligament complex. In some large dissociation, we can use a trick, catching a largest part of the dorsal capsule, proximally and distally, in order to help scapholunate reduction when the knot is tightened. Sometimes, the scapholunate ligament is avulsed from the dorsal proximal pole of the scaphoid, and it is necessary to put an anchor at the exact location of the scapholunate attachment into the dorsal scaphoid to allow a dorsal capsuloligamentous repair as for a classical scapholunate tear.

C Mathoulin

Surgical intervention

Arthroscopic capsuloligamentous suture with anchor for scapholunate dissociation EWAS stage 4

An anatomical and biomechanical study has recently shown that detachment of the scapholunate (SL) ligament from the dorsal capsuloligamentous scapholunate septum (DCSS) and dorsal intercarpal ligament (DIC) worsens scapholunate dissociation. This knowledge has revolutionized the treatment of scapholunate dissociation and formed the basis of the arthroscopic repair of the scapholunate ligament complex. In some large dissociation, we can use a trick, catching a largest part of the dorsal capsule, proximally and distally, in order to help scapholunate reduction when the knot is tightened. Sometimes, the scapholunate ligament is avulsed from the dorsal proximal pole of the scaphoid, and it is necessary to put an anchor at the exact location of the scapholunate attachment into the dorsal scaphoid to allow a dorsal capsuloligamentous repair as for a classical scapholunate tear.

Arthroscopic large dorsal capsuloligamentous suture for scapholunate dissociation EWAS stage 4

An anatomical and biomechanical study has recently shown that detachment of the scapholunate (SL) ligament from the dorsal capsuloligamentous scapholunate septum (DCSS) and dorsal intercarpal ligament (DIC) worsens scapholunate dissociation. This knowledge has revolutionized the treatment of scapholunate dissociation and formed the basis of the arthroscopic repair of the scapholunate ligament complex. SL ligament repair per se is not adequate; it has to be reattached to the dorsal capsule. This is enabled with an arthroscopic technique, which preserves the dorsal capsule. In some large dissociation, we can use a trick, catching a largest part of the dorsal capsule, proximally and distally, in order to help scapholunate reduction when the knot is tightened.

C Mathoulin

Surgical intervention

Arthroscopic large dorsal capsuloligamentous suture for scapholunate dissociation EWAS stage 4

An anatomical and biomechanical study has recently shown that detachment of the scapholunate (SL) ligament from the dorsal capsuloligamentous scapholunate septum (DCSS) and dorsal intercarpal ligament (DIC) worsens scapholunate dissociation. This knowledge has revolutionized the treatment of scapholunate dissociation and formed the basis of the arthroscopic repair of the scapholunate ligament complex. SL ligament repair per se is not adequate; it has to be reattached to the dorsal capsule. This is enabled with an arthroscopic technique, which preserves the dorsal capsule. In some large dissociation, we can use a trick, catching a largest part of the dorsal capsule, proximally and distally, in order to help scapholunate reduction when the knot is tightened.

The principles and history of wrist arthroscopy

In this key lecture, Dr. Rahimtoola covers the principles and history of wrist arthroscopy.

The principles and history of wrist arthroscopy

In this key lecture, Dr. Rahimtoola covers the principles and history of wrist arthroscopy.

Intrinsic and extrinsic ligaments exploration and testing

In this key lecture, Dr. Camus outlines intrinsic and extrinsic ligaments exploration and testing.

Intrinsic and extrinsic ligaments exploration and testing

In this key lecture, Dr. Camus outlines intrinsic and extrinsic ligaments exploration and testing.

Wrist arthroscopy dorsal capsuloligamentous repair

In this key lecture, Dr. Arianni focuses on wrist arthroscopy dorsal capsuloligamentous repair.

Wrist arthroscopy dorsal capsuloligamentous repair

In this key lecture, Dr. Arianni focuses on wrist arthroscopy dorsal capsuloligamentous repair.

Scapholunate tears: problem and classification

In this key lecture, Dr. Delgado focuses on scapholunate tears and their classification.

Scapholunate tears: problem and classification

In this key lecture, Dr. Delgado focuses on scapholunate tears and their classification.

IMAGE 1 STM - As Versatile as your Requirements

Rigid Endoscopy, 3D Endoscopy, Flexible Endoscopy and Near Infrared (NIR/ICG) Fluorescence Imaging

IMAGE 1 STM - As Versatile as your Requirements

Rigid Endoscopy, 3D Endoscopy, Flexible Endoscopy and Near Infrared (NIR/ICG) Fluorescence Imaging

instrument

Arthroscopic reduction of intra-articular distal radius fractures

In this key lecture, Dr. Cognet outlines the arthroscopic reduction of intra-articular distal radius fractures.

Arthroscopic reduction of intra-articular distal radius fractures

In this key lecture, Dr. Cognet outlines the arthroscopic reduction of intra-articular distal radius fractures.

Arthroscopic resection arthroplasty thumb CMC

In this key lecture, Dr. Tyson Cobb outlines the arthroscopic resection arthroplasty (thumb CMC).

T Cobb

Arthroscopic resection arthroplasty thumb CMC

In this key lecture, Dr. Tyson Cobb outlines the arthroscopic resection arthroplasty (thumb CMC).

Arthroscopic treatment of stage 3 scapholunate advanced collapse (SLAC)

The evolution of scapholunate dissociations takes place towards osteoarthritis. The SLAC 3 stage associates a radio-scaphoid with a luno-capitate arthritis. The principle of this intervention is to perform a tendon interposition plasty between the scaphoid and the radius and a partial arthodesis between the capitatum and the lunatum.

C Mathoulin

Surgical intervention

Arthroscopic treatment of stage 3 scapholunate advanced collapse (SLAC)

The evolution of scapholunate dissociations takes place towards osteoarthritis. The SLAC 3 stage associates a radio-scaphoid with a luno-capitate arthritis. The principle of this intervention is to perform a tendon interposition plasty between the scaphoid and the radius and a partial arthodesis between the capitatum and the lunatum.

Equipment and some portals

Wrist arthroscopy is a technique which has revolutionized the treatment of wrist pathologies. To better understand it, it is necessary to use a suitable equipment and use mini approaches as demonstrated in this educational video.

C Mathoulin

Surgical intervention

Equipment and some portals

Wrist arthroscopy is a technique which has revolutionized the treatment of wrist pathologies. To better understand it, it is necessary to use a suitable equipment and use mini approaches as demonstrated in this educational video.

Arthroscopic treatment for volar midcarpal instability

The volar midcarpal instability results from the post-traumatic distension (or rupture) of the palmar strap of the extrinsic ligaments. The second row of the bones of the carp will gradually slip on the first which will find itself subluxed back. Arthroscopic suture of extrinsic volar ligaments can be performed to restore the normal anatomy of the carpal bones.

C Mathoulin

Surgical intervention

Arthroscopic treatment for volar midcarpal instability

The volar midcarpal instability results from the post-traumatic distension (or rupture) of the palmar strap of the extrinsic ligaments. The second row of the bones of the carp will gradually slip on the first which will find itself subluxed back. Arthroscopic suture of extrinsic volar ligaments can be performed to restore the normal anatomy of the carpal bones.

Arthroscopic necrotic scaphoid proximal pole replacement

Pseudarthrosis of the proximal pole of the scaphoid is difficult to treat surgically. Although the reconstruction is always the best solution for patients, in some cases where the proximal pole is necrotic and often fragmented, it is simpler to replace it with an APSI pyrocarbon implant by arthroscopic technique, which makes it possible to obtain good functional long-term results.

C Mathoulin

Surgical intervention

Arthroscopic necrotic scaphoid proximal pole replacement

Pseudarthrosis of the proximal pole of the scaphoid is difficult to treat surgically. Although the reconstruction is always the best solution for patients, in some cases where the proximal pole is necrotic and often fragmented, it is simpler to replace it with an APSI pyrocarbon implant by arthroscopic technique, which makes it possible to obtain good functional long-term results.

Arthroscopic dorsal capsuloligamentous repair in the management of SLIOL tears

In this key lecture, Dr. Wahegaonkar focuses on arthroscopic dorsal capsuloligamentous repair in the management of SLIOL tears.

Arthroscopic dorsal capsuloligamentous repair in the management of SLIOL tears

In this key lecture, Dr. Wahegaonkar focuses on arthroscopic dorsal capsuloligamentous repair in the management of SLIOL tears.

Long-term results of arthroscopic replacement of necrotic proximal pole with APSI implant

In this key lecture, Dr. Gras looks into long-term results of arthroscopic replacement of necrotic proximal pole with APSI implant.

M Gras

Long-term results of arthroscopic replacement of necrotic proximal pole with APSI implant

In this key lecture, Dr. Gras looks into long-term results of arthroscopic replacement of necrotic proximal pole with APSI implant.

Robotic assisted wrist arthroscopy

In this key lecture, Dr. Liverneaux highlights robotic assisted wrist arthroscopy.

Robotic assisted wrist arthroscopy

In this key lecture, Dr. Liverneaux highlights robotic assisted wrist arthroscopy.

TFCC reconstruction

In this key lecture, Dr. Schmelzer-Schmied looks into TFCC reconstruction.

N Schmelzer-Schmied

TFCC reconstruction

In this key lecture, Dr. Schmelzer-Schmied looks into TFCC reconstruction.

LigaSure™ Small Jaw Open Sealer/Divider

A multifunctional tissue sealing system, featuring an integrated cutting mechanism for use in open procedures.

LigaSure™ Small Jaw Open Sealer/Divider

A multifunctional tissue sealing system, featuring an integrated cutting mechanism for use in open procedures.

Vessel sealing

Arthroscopic scapholunate tear treatment: state-of-the-art 2015

In this key lecture, Dr. Christophe Mathoulin outlines a state-of-the-art presentation on the treatment of arthroscopic scapholunate tear.

Arthroscopic scapholunate tear treatment: state-of-the-art 2015

In this key lecture, Dr. Christophe Mathoulin outlines a state-of-the-art presentation on the treatment of arthroscopic scapholunate tear.

Scapholunate tears: the importance of early diagnosis

In this key lecture, Dr. Messina focuses on scapholunate tears and on the importance of their early diagnosis.

Scapholunate tears: the importance of early diagnosis

In this key lecture, Dr. Messina focuses on scapholunate tears and on the importance of their early diagnosis.

Interposition in SLAC wrist

In this key lecture, Dr. Levadoux focuses on interposition in SLAC wrist.

Interposition in SLAC wrist

In this key lecture, Dr. Levadoux focuses on interposition in SLAC wrist.

Basal joint arthritis: arthroscopic interposition

In this key lecture, Dr. Cohen covers the arthroscopic interposition strategy for basal joint arthritis.

G Cohen

Basal joint arthritis: arthroscopic interposition

In this key lecture, Dr. Cohen covers the arthroscopic interposition strategy for basal joint arthritis.

Dorsal ganglion, more than a simple pathology

In this key lecture, Dr. Garret focuses on dorsal ganglion, which is more than a normal pathology according to him.

Dorsal ganglion, more than a simple pathology

In this key lecture, Dr. Garret focuses on dorsal ganglion, which is more than a normal pathology according to him.

Arthroscopic foveal reinsertion of the triangular fibrocartilage complex (TFCC)

The triangular fibrocartilage complex (TFCC) is often torn during sport injury in torsion.
Sometimes, the foveal attachment of the TFCC is detached. This video shows one of the technique available. The objective is to re-attach the TFCC into the foveal area of the ulna, with the help of an absorbable micro-anchor, using a trick in order to achieve two fixations with only one suture.

C Mathoulin

Surgical intervention

Arthroscopic foveal reinsertion of the triangular fibrocartilage complex (TFCC)

The triangular fibrocartilage complex (TFCC) is often torn during sport injury in torsion.
Sometimes, the foveal attachment of the TFCC is detached. This video shows one of the technique available. The objective is to re-attach the TFCC into the foveal area of the ulna, with the help of an absorbable micro-anchor, using a trick in order to achieve two fixations with only one suture.

TFCC tears: classification and treatment

In this key lecture, Dr. Atzei outlines TFCC tears looking into classification and treatment.

A Atzei

TFCC tears: classification and treatment

In this key lecture, Dr. Atzei outlines TFCC tears looking into classification and treatment.

Management of associated lesions in distal radius fractures

In this key lecture, Dr. Camus looks into the management of associated lesions in distal radius fractures

Management of associated lesions in distal radius fractures

In this key lecture, Dr. Camus looks into the management of associated lesions in distal radius fractures

Arthroscopic bone grafting (ABG) in scaphoid non-union

In this key lecture, Dr. Ho outlines arthroscopic bone grafting (ABG) in scaphoid non-union.

PC Ho

Arthroscopic bone grafting (ABG) in scaphoid non-union

In this key lecture, Dr. Ho outlines arthroscopic bone grafting (ABG) in scaphoid non-union.

Wrist arthroscopy anatomy

In this key lecture, Dr. Zemirline covers wrist arthroscopy anatomy.

Wrist arthroscopy anatomy

In this key lecture, Dr. Zemirline covers wrist arthroscopy anatomy.

VITOM® 3D- 3D Visualization for Microsurgery and Open Surgery

Cameras, light sources and documentation

VITOM® 3D- 3D Visualization for Microsurgery and Open Surgery

Cameras, light sources and documentation

Unit

The scapholunate complex: a new concept

In this key lecture, Professor Levadoux covers the scapholunate complex, highlighting a new concept.

The scapholunate complex: a new concept

In this key lecture, Professor Levadoux covers the scapholunate complex, highlighting a new concept.

Scapholunate tears, problems and classifications

In this key lecture, Professor Levadoux looks into scapholunate tears, problems, and classifications.

Scapholunate tears, problems and classifications

In this key lecture, Professor Levadoux looks into scapholunate tears, problems, and classifications.

Indications and complications

In this key lecture, Dr Taleb focuses on indications and complications.

C Taleb

Indications and complications

In this key lecture, Dr Taleb focuses on indications and complications.

Equipment and portals

In this key lecture, Dr. Samson focuses on equipment and portals.

Equipment and portals

In this key lecture, Dr. Samson focuses on equipment and portals.

Arthroscopic treatment of scapholunate ligament disruptions

In this key lecture, Dr. Van Hoonacker focuses on the arthroscopic treatment of scapholunate disruptions.

Arthroscopic treatment of scapholunate ligament disruptions

In this key lecture, Dr. Van Hoonacker focuses on the arthroscopic treatment of scapholunate disruptions.

Principles of arthroscopy

In this key lecture, Professor Levadoux covers the principles of arthroscopy.

Principles of arthroscopy

In this key lecture, Professor Levadoux covers the principles of arthroscopy.

Principles of TFCC repair

In this key lecture, Dr. Kebrle covers the principles of TFCC repair.

Principles of TFCC repair

In this key lecture, Dr. Kebrle covers the principles of TFCC repair.

Palmar cyst arthroscopic resection

In this key lecture, Dr. Mares looks into palmar cyst arthroscopic resection.

O Mares

Palmar cyst arthroscopic resection

In this key lecture, Dr. Mares looks into palmar cyst arthroscopic resection.

Arthroscopic resection of the ulno-carpal part of the ulnar head

In this key lecture, Dr. Gay focuses on arthroscopic resection of the ulno-carpal part of the ulnar head.

A Gay

Arthroscopic resection of the ulno-carpal part of the ulnar head

In this key lecture, Dr. Gay focuses on arthroscopic resection of the ulno-carpal part of the ulnar head.

Techniques for arthroscopic radial styloidectomy

In this key lecture, Professor Herzberg looks into the techniques for arthroscopic radial styloidectomy.

Techniques for arthroscopic radial styloidectomy

In this key lecture, Professor Herzberg looks into the techniques for arthroscopic radial styloidectomy.

LigaSure Impact™ Curved, Large Jaw, Open Sealer/Divider with Nano-coating

A multifunctional tissue fusion system, featuring an integrated cutting mechanism for use in open procedures.

LigaSure Impact™ Curved, Large Jaw, Open Sealer/Divider with Nano-coating

A multifunctional tissue fusion system, featuring an integrated cutting mechanism for use in open procedures.

Vessel sealing

Arthroscopic reduction of intra-articular distal radius fractures and treatment of ligament lesions

In this key lecture, Dr. Cognet covers arthroscopic reduction of intra-articular distal radius fractures and the treatment of ligament lesions.

Arthroscopic reduction of intra-articular distal radius fractures and treatment of ligament lesions

In this key lecture, Dr. Cognet covers arthroscopic reduction of intra-articular distal radius fractures and the treatment of ligament lesions.

Arthroscopic partial wrist fusion

In this key lecture, Dr. Tse focuses on arthroscopic partial wrist fusion.

WL Tse

Arthroscopic partial wrist fusion

In this key lecture, Dr. Tse focuses on arthroscopic partial wrist fusion.

Arthroscopic treatment for scaphoid nonunion

In this key lecture, Dr. Tse outlines the arthroscopic treatment for scaphoid nonunion.

WL Tse

Arthroscopic treatment for scaphoid nonunion

In this key lecture, Dr. Tse outlines the arthroscopic treatment for scaphoid nonunion.

Dorsal capsulo-scapholunate septum (DCSS): what’s up?

In this key lecture, Dr. van Overstraeten focuses on the dorsal capsulo-scapholunate septum (DCSS).

Dorsal capsulo-scapholunate septum (DCSS): what’s up?

In this key lecture, Dr. van Overstraeten focuses on the dorsal capsulo-scapholunate septum (DCSS).

Management of associated lesions in distal radius fracture

In this key lecture, Dr. van Overstraeten focuses on the management of associated lesions in distal radius fractures.

Management of associated lesions in distal radius fracture

In this key lecture, Dr. van Overstraeten focuses on the management of associated lesions in distal radius fractures.

DRUJ instability due to irreparable TFCC tear

In this key lecture, Dr. Haerle outlines DRUJ instability due to irreparable TFCC tear.

DRUJ instability due to irreparable TFCC tear

In this key lecture, Dr. Haerle outlines DRUJ instability due to irreparable TFCC tear.

TFCC current concept

In this authoritative lecture, Dr. Nakamura outlines the current TFCC concept.

TFCC current concept

In this authoritative lecture, Dr. Nakamura outlines the current TFCC concept.

Arthroscopic treatment of SLAC wrist I and II by large styloidectomy associated with a tendon autograft interposition arthroplasty tightened as a hammock: technique and preliminary results

In this key lecture, Dr. Levadoux focuses on the arthroscopic treatment of SLAC wrist I and II by large styloidectomy associated with a tendon autograft interposition arthroplasty tightened as a hammock. The technique and preliminary results are presented.

Arthroscopic treatment of SLAC wrist I and II by large styloidectomy associated with a tendon autograft interposition arthroplasty tightened as a hammock: technique and preliminary results

In this key lecture, Dr. Levadoux focuses on the arthroscopic treatment of SLAC wrist I and II by large styloidectomy associated with a tendon autograft interposition arthroplasty tightened as a hammock. The technique and preliminary results are presented.

Dorsal ganglion cyst: MRI study

In this key lecture, Dr. Garret outlines a MRI study for dorsal ganglion cyst.

Dorsal ganglion cyst: MRI study

In this key lecture, Dr. Garret outlines a MRI study for dorsal ganglion cyst.

Non-fixed pyrocarbon interposition carpometacarpal arthroplasty

In this key lecture, Dr. Garret considers non-fixed pyrocarbon interposition carpometacarpal arthroplasty.

Non-fixed pyrocarbon interposition carpometacarpal arthroplasty

In this key lecture, Dr. Garret considers non-fixed pyrocarbon interposition carpometacarpal arthroplasty.

All Instruments for Endonasal Skull Base Surgery

Endoscopy and Microscopy

All Instruments for Endonasal Skull Base Surgery

Endoscopy and Microscopy

Catalog

Wrist arthroscopic dorsal capsuloligamentous repair

In this key lecture, Dr. Camus outlines the wrist arthroscopic dorsal capsuloligamentous repair.

EJ Camus, L Van Overstraeten

Wrist arthroscopic dorsal capsuloligamentous repair

In this key lecture, Dr. Camus outlines the wrist arthroscopic dorsal capsuloligamentous repair.

Arthroscopic treatment of scaphoid non-union without bone graft: new therapeutic approach to an old problem?

In this key lecture, Dr. Caloia focuses on the arthroscopic treatment of scaphoid non-union without bone graft.

Arthroscopic treatment of scaphoid non-union without bone graft: new therapeutic approach to an old problem?

In this key lecture, Dr. Caloia focuses on the arthroscopic treatment of scaphoid non-union without bone graft.

Arthroscopic scapho-capitate arthrodesis

Post-traumatic osteoarthritis of the wrist often requires the use of palliative surgeries. Partial arthrodesis is one of the proposed techniques. They are numerous, and in this video, we report an original arthroscopic arthrodesis between scaphoid and capitate for localized osteoarthritis on the lateral side of the midcarpal joint, after an old chronic scapholunate ligament tear.

C Mathoulin

Surgical intervention

Arthroscopic scapho-capitate arthrodesis

Post-traumatic osteoarthritis of the wrist often requires the use of palliative surgeries. Partial arthrodesis is one of the proposed techniques. They are numerous, and in this video, we report an original arthroscopic arthrodesis between scaphoid and capitate for localized osteoarthritis on the lateral side of the midcarpal joint, after an old chronic scapholunate ligament tear.

Arthroscopic resection of the distal ulna

In this lecture, Dr. Compson demonstrates the arthroscopic resection of the distal ulna.

Arthroscopic resection of the distal ulna

In this lecture, Dr. Compson demonstrates the arthroscopic resection of the distal ulna.

Wrist arthroscopic anatomy

In this lecture, Dr. Camus focuses on wrist arthroscopic anatomy.

Wrist arthroscopic anatomy

In this lecture, Dr. Camus focuses on wrist arthroscopic anatomy.

Wrist arthroscopic radial styloidectomy (WAS)

In this lecture, Dr. Buschmeier outlines wrist arthroscopic radial styloidectomy (WAS).

Wrist arthroscopic radial styloidectomy (WAS)

In this lecture, Dr. Buschmeier outlines wrist arthroscopic radial styloidectomy (WAS).

Robotic thoracoscopy, intercostal nerves harvesting

In this key lecture, Dr. Liverneaux outlines the use of robotic thoracoscopy with regards to intercostal nerves harvesting.

Robotic thoracoscopy, intercostal nerves harvesting

In this key lecture, Dr. Liverneaux outlines the use of robotic thoracoscopy with regards to intercostal nerves harvesting.

Bony TFCC refixation

In this key lecture, Dr. Schmelzer-Schmied outlines bony TFCC refixation.

N Schmelzer-Schmied

Bony TFCC refixation

In this key lecture, Dr. Schmelzer-Schmied outlines bony TFCC refixation.

Dorsal radiocarpal ligament

In this key lecture, Dr. Slutsky provides a thorough presentation about the dorsal radiocarpal ligament.

Dorsal radiocarpal ligament

In this key lecture, Dr. Slutsky provides a thorough presentation about the dorsal radiocarpal ligament.

Interposition in CMC thumb arthritis: classification and technique

In this key lecture, Dr. Badia introduces the technique and classification related to interposition in CMC thumb arthritis.

A Badia

Interposition in CMC thumb arthritis: classification and technique

In this key lecture, Dr. Badia introduces the technique and classification related to interposition in CMC thumb arthritis.

ELECTROSURGICAL INSTRUMENTS & ACCESSORIES

Electrosurgical Pencils

ELECTROSURGICAL INSTRUMENTS & ACCESSORIES

Electrosurgical Pencils

Electrosurgical

The predynamic scapholunate instability: a new entity and the role of dorsal ganglion etiology

In this key lecture, Dr. Mantovani covers the predynamic scapholunate instability, as a new entity, and the role of dorsal ganglion etiology.

G Mantovani Ruggiero

The predynamic scapholunate instability: a new entity and the role of dorsal ganglion etiology

In this key lecture, Dr. Mantovani covers the predynamic scapholunate instability, as a new entity, and the role of dorsal ganglion etiology.

Arthroscopic volar capsulo-ligamentous repair for palmar midcarpal instability

In this key lecture, Dr. Mathoulin outlines the arthroscopic volar capsulo-ligamentous repair for palmar midcarpal instability.

Arthroscopic volar capsulo-ligamentous repair for palmar midcarpal instability

In this key lecture, Dr. Mathoulin outlines the arthroscopic volar capsulo-ligamentous repair for palmar midcarpal instability.

Arthroscopic bone graft for scaphoid nonunion

Scaphoid nonunion treatment is controversial and remains a challenge for surgeons. Arthroscopic bone grafting for scaphoid nonunion is a reliable, safe, and convenient technique for patients, which prevents any damage to the poor vascularization of the scaphoid. This video presents a step-by-step approach to the procedure.

C Mathoulin

Surgical intervention

Arthroscopic bone graft for scaphoid nonunion

Scaphoid nonunion treatment is controversial and remains a challenge for surgeons. Arthroscopic bone grafting for scaphoid nonunion is a reliable, safe, and convenient technique for patients, which prevents any damage to the poor vascularization of the scaphoid. This video presents a step-by-step approach to the procedure.

How I see the wrist

In this authoritative lecture, Dr. Whipple explains how he sees the wrist.

How I see the wrist

In this authoritative lecture, Dr. Whipple explains how he sees the wrist.

Proximal interphalangeal (PIP) joint arthroplasty for PIP joint arthritis

Arthritis of the proximal interphalangeal (PIP) joint has long presented a challenge for both surgeons and patients alike. The interplay between the joint’s soft tissue and bony anatomy is complex, as the components must work in tandem to provide an acceptable balance of both stability and motion. In the past, arthrodesis, or fusion of the joint with compression screw fixation and plating systems, was the gold standard in the treatment of arthritic joint conditions. PIP joint arthroplasty using a silicone implant is an old but safe procedure in people who do not need to use their labor force.

C Mathoulin

Surgical intervention

Proximal interphalangeal (PIP) joint arthroplasty for PIP joint arthritis

Arthritis of the proximal interphalangeal (PIP) joint has long presented a challenge for both surgeons and patients alike. The interplay between the joint’s soft tissue and bony anatomy is complex, as the components must work in tandem to provide an acceptable balance of both stability and motion. In the past, arthrodesis, or fusion of the joint with compression screw fixation and plating systems, was the gold standard in the treatment of arthritic joint conditions. PIP joint arthroplasty using a silicone implant is an old but safe procedure in people who do not need to use their labor force.

What is the amount of force used by experts during wrist arthroscopy?

The wrist is a frequent source of pain, the clinical and radiographic investigation of which remains difficult. In this lecture, Dr. Obdeijn focuses on the importante of the amount of force used by the surgeon during wrist arthroscopy.

What is the amount of force used by experts during wrist arthroscopy?

The wrist is a frequent source of pain, the clinical and radiographic investigation of which remains difficult. In this lecture, Dr. Obdeijn focuses on the importante of the amount of force used by the surgeon during wrist arthroscopy.

Distal resection of the ulnar - ulnar impaction or ulnar-carpal abutment syndrome

In this key lecture, Dr. Compson presents the distal resection of the ulnar - ulnar impaction or ulnar-carpal abutment syndrome.

Distal resection of the ulnar - ulnar impaction or ulnar-carpal abutment syndrome

In this key lecture, Dr. Compson presents the distal resection of the ulnar - ulnar impaction or ulnar-carpal abutment syndrome.

Telemicrosurgery: robot-assisted microsurgery

In this key lecture, Professor Liverneaux presents telemicrosurgery: robot-assisted microsurgery.

Telemicrosurgery: robot-assisted microsurgery

In this key lecture, Professor Liverneaux presents telemicrosurgery: robot-assisted microsurgery.

Removal of dorsal ganglion cyst

In this key lecture, Dr. Garret presents the removal of a dorsal ganglion cyst.

Removal of dorsal ganglion cyst

In this key lecture, Dr. Garret presents the removal of a dorsal ganglion cyst.

Distal radius fractures, minimally invasive plating

In this key lecture, Professor Liverneaux presents distal radius fractures, minimally invasive plating.

Distal radius fractures, minimally invasive plating

In this key lecture, Professor Liverneaux presents distal radius fractures, minimally invasive plating.

RoTalock™ Trocars - The new Self-Retaining Trocar Especially Developed for Neonatal and Pediatric Laparoscopic Surgery

instrument

Surgical management of de Quervain’s disease

De Quervain's disease is a tendinitis of the abductor pollicis longus and extensor pollicis brevis tendons. Its treatment is most often medical (immobilization, infiltration) but sometimes surgical. One of the problems encountered is the subluxation of the tendons over the pulley. This video shows a novel technique to avoid this problem.
This video was captured using the VITOM system from KARL STORZ.

C Mathoulin

Surgical intervention

Surgical management of de Quervain’s disease

De Quervain's disease is a tendinitis of the abductor pollicis longus and extensor pollicis brevis tendons. Its treatment is most often medical (immobilization, infiltration) but sometimes surgical. One of the problems encountered is the subluxation of the tendons over the pulley. This video shows a novel technique to avoid this problem.
This video was captured using the VITOM system from KARL STORZ.

VITOM, a new visualization system for open surgery with minimal access

In this key lecture, Dr. Weiss introduces VITOM, a new visualization system for open surgery with minimal access.

G Weiss

VITOM, a new visualization system for open surgery with minimal access

In this key lecture, Dr. Weiss introduces VITOM, a new visualization system for open surgery with minimal access.

SL injuries, classification, treatment, problems

In this key lecture, Dr. Nienstedt presents SL injuries classification, treatment, and problems.

SL injuries, classification, treatment, problems

In this key lecture, Dr. Nienstedt presents SL injuries classification, treatment, and problems.

Arthroscopic dorsal capsuloplasty

In this key lecture, Dr. Wahegaonkar outlines arthroscopic dorsal capsuloplasty.

Arthroscopic dorsal capsuloplasty

In this key lecture, Dr. Wahegaonkar outlines arthroscopic dorsal capsuloplasty.

Pyrocarbon implant in first CMC arthritis

Treatment of 1st CMC arthritis is controversial. Many techniques have been described, and indications are related to the stage of osteoarthritis. When the only trapeziometacarpal joint is involved with preserved axes, we can propose to put a pyrocarbon implant arthroscopically.

C Mathoulin

Surgical intervention

Pyrocarbon implant in first CMC arthritis

Treatment of 1st CMC arthritis is controversial. Many techniques have been described, and indications are related to the stage of osteoarthritis. When the only trapeziometacarpal joint is involved with preserved axes, we can propose to put a pyrocarbon implant arthroscopically.

Wrist arthroscopy: indications, complications

In this key lecture, Dr. Rizzo presents wrist arthroscopy indications and complications.

C Rizzo

Wrist arthroscopy: indications, complications

In this key lecture, Dr. Rizzo presents wrist arthroscopy indications and complications.

Technique and portals

In this key lecture, Dr. Samson presents fundamentals regarding technique and portals.

Technique and portals

In this key lecture, Dr. Samson presents fundamentals regarding technique and portals.

Tenodermodesis for Mallet finger

Rupture of the distal insertion of the extensor tendon in long digits is common when extension is thwarted. Orthopedic repair is the rule, but in case of failure, an original technique of secondary tenodermodesis allows for a good repair. This video was captured using the VITOM system from KARL STORZ.

C Mathoulin

Surgical intervention

Tenodermodesis for Mallet finger

Rupture of the distal insertion of the extensor tendon in long digits is common when extension is thwarted. Orthopedic repair is the rule, but in case of failure, an original technique of secondary tenodermodesis allows for a good repair. This video was captured using the VITOM system from KARL STORZ.

Wrist arthroscopic anatomy

In this key lecture, Dr. Muratore outlines wrist arthroscopic anatomy.

Wrist arthroscopic anatomy

In this key lecture, Dr. Muratore outlines wrist arthroscopic anatomy.

TFCC repair: current concept

The triangular fibrocartilage complex (TFCC) plays an essential role in the stability of the distal radioulnar joint (DRUJ) stability. In this lecture, Dr. Nakamura presents the surgical approach to the TFCC.

TFCC repair: current concept

The triangular fibrocartilage complex (TFCC) plays an essential role in the stability of the distal radioulnar joint (DRUJ) stability. In this lecture, Dr. Nakamura presents the surgical approach to the TFCC.

Endo GIA™ Reinforced Reload with Tri-Staple™ Technology

The only stapler with preloaded buttress material to improve ease of use and reduce waste in the OR.

Endo GIA™ Reinforced Reload with Tri-Staple™ Technology

The only stapler with preloaded buttress material to improve ease of use and reduce waste in the OR.

Stapling

Principles of repair of acute TFCC tears: where is the limit of the indication?

In this key lecture, Dr. Caloia outlines the principles of repair of acute triangular fibrocartilage complex (TFCC) tears.

Principles of repair of acute TFCC tears: where is the limit of the indication?

In this key lecture, Dr. Caloia outlines the principles of repair of acute triangular fibrocartilage complex (TFCC) tears.

Arthroscopic interposition in SLAC 2 wrist arthritis

Scapholunate dissociation is the most common carpal instability. Scapholunate instability is associated with increased scaphoid flexion and pronation with associated lunate extension. The abnormal kinematics leads to a decrease in surface area contact at the radioscaphoid joint. This abnormal articulation causes an increased concentration of load, leading to the development of degenerative arthritis. In late chronic scapholunate ligament dissociation, when the arthritis appeared (SLAC 2-SLAC 3), treatment often involves heavy palliative techniques such as resection of the first row or four bones fusion. We propose a simpler technique of arthroscopic interposition of a palmaris longus tendon, combined with a wide styloidectomy of scaphoid fossea of distal radius and a dorsal capsuloligamentous repair to stabilize the scapholunate dissociation.

C Mathoulin

Surgical intervention

Arthroscopic interposition in SLAC 2 wrist arthritis

Scapholunate dissociation is the most common carpal instability. Scapholunate instability is associated with increased scaphoid flexion and pronation with associated lunate extension. The abnormal kinematics leads to a decrease in surface area contact at the radioscaphoid joint. This abnormal articulation causes an increased concentration of load, leading to the development of degenerative arthritis. In late chronic scapholunate ligament dissociation, when the arthritis appeared (SLAC 2-SLAC 3), treatment often involves heavy palliative techniques such as resection of the first row or four bones fusion. We propose a simpler technique of arthroscopic interposition of a palmaris longus tendon, combined with a wide styloidectomy of scaphoid fossea of distal radius and a dorsal capsuloligamentous repair to stabilize the scapholunate dissociation.

Arthroscopic radial styloidectomy (September 2011 update)

In this key lecture, Dr. Yanni presents an update of arthroscopic radial styloidectomy.

D Yanni

Arthroscopic radial styloidectomy (September 2011 update)

In this key lecture, Dr. Yanni presents an update of arthroscopic radial styloidectomy.

Arthroscopic partial scaphoid implant

In this key lecture, Dr. Levadoux introduces the arthroscopic partial scaphoid implant.

Arthroscopic partial scaphoid implant

In this key lecture, Dr. Levadoux introduces the arthroscopic partial scaphoid implant.

Hammock arthroscopic tendon graft interposition in SLAC wrist stage I and II

In this key lecture, Dr. Levadoux outlines the Hammock arthroscopic tendon graft interposition in SLAC wrist stage I and II.

Hammock arthroscopic tendon graft interposition in SLAC wrist stage I and II

In this key lecture, Dr. Levadoux outlines the Hammock arthroscopic tendon graft interposition in SLAC wrist stage I and II.

Sauve Kapandji (SK) technique: arthroscopic technique

In this key lecture, Dr. Luchetti outlines the arthroscopic Sauve Kapandji (SV) technique.

Sauve Kapandji (SK) technique: arthroscopic technique

In this key lecture, Dr. Luchetti outlines the arthroscopic Sauve Kapandji (SV) technique.

Removal of volar synovial cyst (June 2012 update)

In this key lecture, Dr. Tse presents an update for volar synovial cyst removal.

WL Tse

Removal of volar synovial cyst (June 2012 update)

In this key lecture, Dr. Tse presents an update for volar synovial cyst removal.

Arthroscopic TFCC reconstruction

In this key lecture, Dr. Luchetti outlines the arthroscopic TFCC reconstruction technique.

Arthroscopic TFCC reconstruction

In this key lecture, Dr. Luchetti outlines the arthroscopic TFCC reconstruction technique.

Mucous cyst of the thumb

Mucous cysts are small, fluid-filled sacs that form on the fingers. They are associated with osteoarthritis (OA) and usually develop in patients aged 50 to 70. These cysts appear between the last joint of the finger and the bottom of the fingernail. When this mucous cyst is in danger of rupturing, it can be surgically removed with attached skin and covered with a dorsal flap. This video was captured using the VITOM system from KARL STORZ.

C Mathoulin

Surgical intervention

Mucous cyst of the thumb

Mucous cysts are small, fluid-filled sacs that form on the fingers. They are associated with osteoarthritis (OA) and usually develop in patients aged 50 to 70. These cysts appear between the last joint of the finger and the bottom of the fingernail. When this mucous cyst is in danger of rupturing, it can be surgically removed with attached skin and covered with a dorsal flap. This video was captured using the VITOM system from KARL STORZ.

Surgical treatment of scaphoid fractures with arthroscopic control

In this key lecture, Dr. Cognet covers the surgical treatment of scaphoid fractures with arthroscopic control.

Surgical treatment of scaphoid fractures with arthroscopic control

In this key lecture, Dr. Cognet covers the surgical treatment of scaphoid fractures with arthroscopic control.

EndoCAMeleon® Telescope with Variable Direction of View

instrument

Arthroscopic graft for scaphoid non-union

In this key lecture, Dr. Levadoux presents the arthroscopic graft for scaphoid non-union.

Arthroscopic graft for scaphoid non-union

In this key lecture, Dr. Levadoux presents the arthroscopic graft for scaphoid non-union.

Lengthening of extensor muscle origin as treatment of lateral epicondylitis

Lateral epicondylitis (tennis elbow) is the most common affliction of the elbow. It is an inflammatory condition producing pain localized around the lateral elbow and dorsal forearm region. Though often put in the category of tendinitis, it is actually a result of an injury to the extensor musculotendinous origin at the lateral humoral epicondyle. It usually responds to non-surgical treatment. In case of failure, a surgical treatment is requested. It consists in the lengthening of the extensor muscle origin. This original technique allows a prompt recovery of full range of motion.
This video was captured using the VITOM system from KARL STORZ.

C Mathoulin

Surgical intervention

Lengthening of extensor muscle origin as treatment of lateral epicondylitis

Lateral epicondylitis (tennis elbow) is the most common affliction of the elbow. It is an inflammatory condition producing pain localized around the lateral elbow and dorsal forearm region. Though often put in the category of tendinitis, it is actually a result of an injury to the extensor musculotendinous origin at the lateral humoral epicondyle. It usually responds to non-surgical treatment. In case of failure, a surgical treatment is requested. It consists in the lengthening of the extensor muscle origin. This original technique allows a prompt recovery of full range of motion.
This video was captured using the VITOM system from KARL STORZ.

Arthroscopic partial arthrodesis in SLAC 3 wrist arthritis

There are several operations available for wrist arthritis. The aim is an operation with minimal risk as well as reliable and successful outcomes. The surgical options from simple to complex are as follows: wrist arthroscopy and washout; wrist denervation; partial wrist fusion/excision of some wrist bones (proximal row carpectomy); wrist replacement; and wrist fusion. Partial wrist fusion and excision of some wrist bones allow for pain removal but retaining some movement which is normally enough for most daily activities. To make this gesture arthroscopically simplifies the postoperative recovery.

C Mathoulin

Surgical intervention

Arthroscopic partial arthrodesis in SLAC 3 wrist arthritis

There are several operations available for wrist arthritis. The aim is an operation with minimal risk as well as reliable and successful outcomes. The surgical options from simple to complex are as follows: wrist arthroscopy and washout; wrist denervation; partial wrist fusion/excision of some wrist bones (proximal row carpectomy); wrist replacement; and wrist fusion. Partial wrist fusion and excision of some wrist bones allow for pain removal but retaining some movement which is normally enough for most daily activities. To make this gesture arthroscopically simplifies the postoperative recovery.

Arthroscopic dorsal capsuloplasty

In this key lecture, Dr. Baur outlines arthroscopic dorsal capsuloplasty.

EM Baur

Arthroscopic dorsal capsuloplasty

In this key lecture, Dr. Baur outlines arthroscopic dorsal capsuloplasty.

Hammock ligamentoplasty for treatment of first carpometacarpal (CMC) joint arthritis

Osteoarthritis of the first carpometacarpal joint is frequent and painful. The use of a ligamentoplasty following trapeziectomy is a simple technique, using only a single dorsal approach. The “hammock” ligamentoplasty using the abductor pollicis longus tendon slips allows to maintain the distance between the scaphoid and the base of the first metacarpal bone while preserving the flexor carpi radialis tendon and weakening the force dislocating the abductor pollicis longus.

C Mathoulin

Surgical intervention

Hammock ligamentoplasty for treatment of first carpometacarpal (CMC) joint arthritis

Osteoarthritis of the first carpometacarpal joint is frequent and painful. The use of a ligamentoplasty following trapeziectomy is a simple technique, using only a single dorsal approach. The “hammock” ligamentoplasty using the abductor pollicis longus tendon slips allows to maintain the distance between the scaphoid and the base of the first metacarpal bone while preserving the flexor carpi radialis tendon and weakening the force dislocating the abductor pollicis longus.

Dupuytren’s disease, complete fasciectomy

Dupuytren's disease, described in 1813 by Baron Dupuytren in his posthumous works, is a common disease in white people, causing a progressive retraction of the fingers. Today, surgical treatment is the simplest, most effective and least expensive type of treatment. It is nevertheless difficult and requires extreme surgical precision. This video was captured using the VITOM system from KARL STORZ.

C Mathoulin

Surgical intervention

Dupuytren’s disease, complete fasciectomy

Dupuytren's disease, described in 1813 by Baron Dupuytren in his posthumous works, is a common disease in white people, causing a progressive retraction of the fingers. Today, surgical treatment is the simplest, most effective and least expensive type of treatment. It is nevertheless difficult and requires extreme surgical precision. This video was captured using the VITOM system from KARL STORZ.

Endoscopic microsurgery: a new concept

In this authoritative lecture, Dr. Philippe Liverneaux focuses on endoscopic microsurgery. Conventional microsurgery requires large incisions and extensive dissections while it is performed in a small operating field. In this context, the concept of endoscopic microsurgery appears to be a logical way to be put to the test.
We rely on four years of practical experience using the Da Vinci™ robot at the European Institute of Telesurgery in Strasbourg, France. To-date, 40 patients have been operated on by our Hand Surgery and Peripheral Nerve Department.
Endoscopic Microsurgery combines the properties of microsurgery, endoscopic surgery, and telesurgery. Not only does it allow to magnify the vision of the operating field, but it also allows to multiply the operator's hand movements, and all the more so by means of minimally invasive approaches. Its evolution necessitates the development of a dedicated robot and specific instrumentation capable of handling such procedures.

Endoscopic microsurgery: a new concept

In this authoritative lecture, Dr. Philippe Liverneaux focuses on endoscopic microsurgery. Conventional microsurgery requires large incisions and extensive dissections while it is performed in a small operating field. In this context, the concept of endoscopic microsurgery appears to be a logical way to be put to the test.
We rely on four years of practical experience using the Da Vinci™ robot at the European Institute of Telesurgery in Strasbourg, France. To-date, 40 patients have been operated on by our Hand Surgery and Peripheral Nerve Department.
Endoscopic Microsurgery combines the properties of microsurgery, endoscopic surgery, and telesurgery. Not only does it allow to magnify the vision of the operating field, but it also allows to multiply the operator's hand movements, and all the more so by means of minimally invasive approaches. Its evolution necessitates the development of a dedicated robot and specific instrumentation capable of handling such procedures.

The scapholunate complex: a new concept

In this key lecture, Dr. Van Overstraeten focuses on the scapholunate complex, delineating a new concept.

The scapholunate complex: a new concept

In this key lecture, Dr. Van Overstraeten focuses on the scapholunate complex, delineating a new concept.

Arthroscopic anatomy of the wrist

The author is presenting anatomical structures visible topographically on the surface of the volar and dorsal part of the wrist in relation to the wrist's inner anatomy. The author gives an X-ray picture, outside and inside topography of the wrist, and describes structures visible by the arthroscope in comparison to an anatomical dissection of radiocarpal and midcarpal joint. The author shows all details necessary for a good wrist access using the arthroscope and gives an overall picture of normal arthroscopic finding.

Arthroscopic anatomy of the wrist

The author is presenting anatomical structures visible topographically on the surface of the volar and dorsal part of the wrist in relation to the wrist's inner anatomy. The author gives an X-ray picture, outside and inside topography of the wrist, and describes structures visible by the arthroscope in comparison to an anatomical dissection of radiocarpal and midcarpal joint. The author shows all details necessary for a good wrist access using the arthroscope and gives an overall picture of normal arthroscopic finding.