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A knot pusher is introduced inside the joint from the dorsal portal located in front of the ligament portion to repair and exit through the volar capsule portal to the volar approach (VR, VC, or VU), where the threads of the anchor are located. The knot pusher is loaded with the two threads and retrieved to the dorsal portal. Adapted from Corella, Heras-Palou, Luchetti. Carpal ligament injuries and instability: FESSH Instructional Course Book 2023. Stuttgart: Thieme; 2023.
