Combined arthroscopic “wafer” distal ulnar resection and triangular fibrocartilage complex (TFCC) debridement. A, Central perforation of TFCC (arrow). B, After excision of central disc, wafer resection of 2 mm of ulnar head is done (arrow). C, After completion of TFCC debridement and wafer resection. (From Tomaino MM, Weiser RW: Combined arthroscopic debridement and wafer resection of the distal ulna with triangular fibrocartilage complex tears and positive variance, J Hand Surg 26A:1047, 2001.) SEE TECHNIQUE 69.36.