The Orthobullets Podcast Podiums | Hand | Bioskills Lab: Total Wrist Arthroplasty
Oct 25, 2025
Dr. Jason Nydig, a hand surgery expert specializing in wrist arthroplasty, dives deep into the nuances of total wrist arthroplasty. He discusses optimal patient selection criteria, highlights cutting-edge implant technologies, and shares insights on surgical techniques. Listeners get to hear about a compelling case of wrist osteoarthritis, the importance of preoperative CT scans, and strategies for managing postoperative rehabilitation. Nydig also confronts potential failure modes and offers practical advice for patients' activity levels. This session is packed with valuable information for medical professionals!
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Preserve Carpal Bone Stock
- Preserve carpal bone stock by leaving portions of the scaphoid and using central guides to align components on the capitate.
- Place screws into the second metacarpal carefully and avoid unnecessary hamate crossing.
Protect Tendons And Ligaments
- Protect extensor tendons with a Penrose drain and preserve volar extrinsic ligaments during exposure and closure.
- Use the dorsal capsule for later closure and avoid implant-tendon contact.
Trialing And Soft-Tissue Tension
- During trialing, match implant sizes and check alignment against the hamate apex and mid-carpal fusion potential.
- Avoid excessive tightness of soft-tissue closure to preserve flexion and prevent impingement.