Advansor TF: Frequently Asked Questions & Technical Tips

Surgeons: considering the Advansor TF?

Responses are provided by Dr. Dale Dellacqua as a result of his experience with the Advansor TF™. Dr. Dellacqua is a founding partner of Del Palma Orthopedics and designer of the Advansor TF.

Technical Tips:

Blade Deployment

It is important to push the button for blade deployment in a longitudinal direction, not down, to allow the blade to travel smoothly down the monorail track.

Technique modification for the thickened palm

Visualization of the proximal extent of the A-1 pulley is essential prior to insertion of the device. In some patients the palmar fascia is intimately adherent to the skin. In the thickened palm or nodular type hand, the hemostat should be used to elevate the skin from the underlying fascia in line with the flexor tendon sheath. This allows the dissector to smoothly pass, completely releasing the A-1 pulley.

Links:

The American Academy of Orthopaedic Surgeons (AAOS)

The American Society for Surgery of the Hand (ASSH)