77th ASSH Annual Meeting - Back to Basics: Practice and Education-POST01: Coding Boot Camp: For Young (and Old) Hand Surgeons (AM22)

Video Transcription

Video Summary

In this video, Dr. Peter Weiss discusses three surgical techniques: thumb CMC arthroplasty, capitate resurfacing, and total wrist replacement. He explains that the idea for thumb joint replacement using a vascular Gore-Tex graft came from his fellowship director. However, the graft caused complications due to delamination of the PTFE, so he tried shoulder dermal grafts instead, which worked well. He then discusses the use of human allograft dermal grafts, which were recently approved by the FDA, and explains the technique for using rolled dermal grafts for thumb joint replacement.<br /><br />Dr. Weiss also discusses the technique for capitate resurfacing, which involves using a hemiarthroplasty system to resurface the capitate joint. He explains that the system restores wrist height and provides good fixation.<br /><br />Finally, he discusses a new total wrist implant that can be used as a standalone total wrist arthroplasty or in combination with a hemiarthroplasty for patients who have worn out their lunate fossa or have other wrist pathologies. He explains that the new implant has a greater degree of motion and is designed to reduce stresses on the joint. Dr. Weiss also shares his personal experience with these techniques and provides some tips and tricks for their implementation.

Meta Tag

Speaker Anne J. Miller, MD

Speaker Noah M. Raizman, MD, MFA

Speaker Sarah Wiskerchen, MBA, CPC

Keywords

surgical techniques

thumb CMC arthroplasty

capitate resurfacing

total wrist replacement

vascular Gore-Tex graft

complications

PTFE delamination