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World J Orthop. Mar 18, 2023; 14(3): 103-112
Published online Mar 18, 2023. doi: 10.5312/wjo.v14.i3.103
Advances in wrist arthroscopic surgery in Indonesia
Oryza Satria, Seti Aji Hadinoto, Irfan Fathurrahman
Oryza Satria, Irfan Fathurrahman, Department of Orthopaedic and Traumatology, Fatmawati Central General Hospital, Jakarta Selatan 12430, Daerah Khusus Ibukota Jakarta, Indonesia
Seti Aji Hadinoto, Department of Orthopaedic and Traumatology, Prof. Dr. Soeharso Orthopaedic Hospital, Faculty of Medicine, Sebelas Maret University, Solo 57162, Central Java, Indonesia
Author contributions: Satria O and Hadinoto SA contributed equally to this work; Satria O and Hadinoto SA reviewed external sources, discussed, and wrote the article; Fathurahman I formatted the article and revised grammatical errors; and all authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Oryza Satria, MD, Doctor, Department of Orthopaedic and Traumatology, Fatmawati Central General Hospital, Jl. RS. Fatmawati Raya No. 4, RT.4/RW.9, Cilandak Bar., Kec. Cilandak, Kota Jakarta Selatan, Jakarta Selatan 12430, Daerah Khusus Ibukota Jakarta, Indonesia. oriezatria@gmail.com
Received: July 13, 2022
Peer-review started: July 13, 2022
First decision: August 22, 2022
Revised: September 1, 2022
Accepted: February 21, 2023
Article in press: February 21, 2023
Published online: March 18, 2023
Abstract

Since the 1990s, new insights in wrist arthroscopy have led to the introduction of numerous treatment methods. Consequently, therapeutic procedures are no longer limited to resection as more specialized repair and functional reconstruction methods, involving tissue replacement and essential structural augmentation, have been shown to be beneficial. This article discusses the most prevalent reasons and uses for wrist arthroscopy, with an emphasis on Indonesia’s most recent and major advances in reconstructive arthroscopic surgery. Joint debridement, synovectomy, ganglionectomy, capsular release, and osteotomies are frequent resection operations. Ligament repair and arthroscopy-aided reduction and fixation for fractures and nonunion are all examples of reconstructive surgery.

Keywords: Arthroscopy, Synovectomy, Ganglionectomy, Arthrolysis, Arthroscopic-assisted reduction and internal fixation, Scaphoid fractures, Carpal nonunion, Triangular fibro cartilage complex injury

Core Tip: Several novel procedures with specific surgical indications have been developed over the past 15 years. More difficult and precise procedures can now be performed with fewer complications as both techniques and instrumentation improve. Debridement and resection are no longer the only therapeutic treatment available. Functional reconstruction treatments involving the repair of tissue defects and augmentation of important structures with graft material as well as more particular anatomical structure fixing procedures have been performed with established clinical benefit. This article covers current arthroscopic techniques used in clinical practice in Indonesia, some of which represent cutting-edge breakthroughs in therapeutic arthroscopy.