WRIST SURGERIES PERFORMED BY CAMERA
Wrist has a complex structure which consists of many bones and ligaments. Treatment of some injuries may be performed by some special tools except diagnosing with wrist arthroscopy, confirming and deciding for further surgeries. Wrist arthroscopy has become common recently by development of surgical tool and techniques. By wrist arthroscopy, less pain, swelling and movement limitation occur than the open surgery and rapid recovery arises after the surgery.
Very thin 2, 7 or 2,4 mm cameras are used in wrist arthroscopy. Intraarticular observation is provided by entering the wrist from small cut and transmitting the image by enlarging the image.
Joint space is opened by using special traction systems to provide access of the camera and tools during this surgery.
By applying gas or fluid into the joint, visibility of structures is provided. Sometimes arthroscopy may be used before open surgical interventions or not to form more soft tissue damage.
With wrist arthroscopy, all cartilage surfaces, ligaments between bones and position changes between bones may be observed. Sometimes pain, movement limitation, abnormal sound and swelling continues for a long time after traumas. In the existence of these problems, arthroscopy is a very useful method for confirming the diagnosis after various techniques, determination of the injury and evaluation and deciding for treatment option.
There is a meniscus structure like the knee called TFCC (triangular fibrocartilage or wrist meniscus) which is assigned for transmitting the load comes to the wrist to the forearm. This meniscus is semilunar; it does not have its own vascular structure. Circulation is by absorption from outside to inside. Therefore, recovery of injuries that arise in less circulated areas in inner side is difficult. Wrist arthroscopy is the best treatment method for diagnosis and treatment of these lesions.
Wrist arthroscopy is useful for evaluation and correction of the joint surface after fractures extending to the wrist. It may be used for treatment of wrist swelling (ganglion). It is very effective for cleaning and washing the inside of the wrist in intraarticular inflammation of the wrist. It may be used cleaning and washing intraarticular synovial structures in some rheumatic events.
Wrist arthroscopy is generally performed via axillary (axillary block) anesthesia. Sometimes the patient may be anesthetized. Generally the patient is discharged in the same day. Brace is applied after the surgery. Using fingers is allowed just after the surgery. If another procedure is not applied together, the patients are allowed to return to their normal activity after 7-10 days. Wrist arthroscopy is a method that provides treatment which increases the patient comfort with the least surgery risk and the soft tissue .