2024 ASSH On Demand CME: Innovative Salvage Procedures-Recording

Video Transcription

Video Summary

The video discusses the Achilles Interposition procedure as a salvage option for failed distal ulnar resection procedures, addressing painful impingement and instability caused by radial ulnar convergence. This technique involves stabilizing the distal ulna by interposing the tendinous portion of the Achilles tendon. The procedure is considered a challenging reconstructive dilemma, with concerns about complications associated with metallic arthroplasty. It aims to provide a stable and functional solution for patients with symptomatic failed distal ulnar resections, potentially offering an alternative to implant-based treatments. The panelists also explored various surgical options for ulnar pathology, emphasizing the importance of wrist alignment and functionality in conditions like rheumatoid arthritis. Recommendations for procedures were based on individual patient symptoms, functional needs, and underlying conditions, with a comprehensive approach advocated to optimize outcomes.

Keywords

Achilles Interposition procedure

salvage option

failed distal ulnar resection

painful impingement

instability

radial ulnar convergence

distal ulna stabilization

Achilles tendon interposition

reconstructive dilemma

complications

metallic arthroplasty

functional solution

ulnar pathology

wrist alignment