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Traditional dry wrist arthroscopy avoids graft displacement caused by fluid irrigation but faces challenges such as obscured visibility from bleeding and limited operative space. This study introduces a carbon dioxide insufflation technique using pulsed gas perfusion at 5 kPa pressure and 10 mL\/min flow rate. By replacing the dry environment, carbon dioxide insufflation dynamically clears intraoperative bleeding, stabilizes the visual field, and expands the joint cavity for improved instrument maneuverability. Preliminary outcomes demonstrate reduced procedural interruptions and enhanced graft compaction compared with dry arthroscopy, while avoiding the risks of graft displacement associated with fluid\u2010based methods. This technique combines the stability of a dry surgical field with the advantages of gas\u2010mediated visualization, offering a promising alternative for arthroscopic bone grafting.<\/jats:p>\n <\/jats:sec>\n \n Technique Video<\/jats:title>\n \n \n \n video<\/jats:alt-text>\n <\/jats:graphic>\n <\/jats:boxed-text>\n <\/jats:p>\n \n See video under supplementary data.<\/jats:bold>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1016\/j.eats.2025.103701","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T23:35:16Z","timestamp":1750289716000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Technique of Carbon Dioxide Insufflation of the Wrist During Arthroscopic Bone\u2010Grafting Procedures"],"prefix":"10.1002","volume":"14","author":[{"given":"Jiyang","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Sports Medicine Wuxi 9th People's Hospital Affiliated to Soochow 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