Revisional triangular fibrocartilage complex (TFCC) repair using arthroscopic one-tunnel transosseous suture: preliminary results
| Autor: | Ji Hun Park, Joon Suk Lee, In Cheul Choi, Jong Woong Park, Young Woo Kwon |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Triangular Fibrocartilage
Wrist Joint medicine.medical_specialty Visual analogue scale Druj Wrist Arthroscopy 03 medical and health sciences Grip strength 0302 clinical medicine Humans Medicine Orthopedics and Sports Medicine Retrospective Studies 030222 orthopedics Sutures medicine.diagnostic_test business.industry Suture Techniques 030229 sport sciences General Medicine Wrist Injuries Surgery medicine.anatomical_structure Orthopedic surgery Range of motion business Triangular Fibrocartilage Complex |
| Zdroj: | Archives of Orthopaedic and Trauma Surgery. 142:197-203 |
| ISSN: | 1434-3916 0936-8051 |
| Popis: | The purpose of this study was to report the clinical outcome of revision arthroscopic triangular fibrocartilage complex (TFCC) foveal repair using a one-tunnel transosseous suture technique after failed primary TFCC repair. Consecutive patients treated with arthroscopic TFCC foveal repair using the uniform one-tunnel transosseous suture technique after failed TFCC repair from 2014 to 2018 were retrospectively reviewed. The clinical outcome was evaluated using the Modified Mayo Wrist Score (MMWS) and the Quick Disabilities of the Arm, Shoulder, and Hand (Quick-DASH) score. The Visual Analog Scale (VAS) for pain, stability of the distal radioulnar joint (DRUJ), grip strength, and active range of motion (ROM) of the wrist joint also were assessed. This study cohort consisted of eight patients, and their mean time to revision after initial surgery was 15.1 months. Previous surgeries were performed using an arthroscopy-assisted mini-open TFCC repair in six cases, an arthroscopic all-inside repair in one case, and an arthroscopic transosseous suture technique in the remaining case. After revisional TFCC foveal repair, all patients demonstrated improved pain and a stable DRUJ. Participants showed improvement in grip strength and mean active wrist ROM. There was improvement in MMWS (from 58.6 to 87.5) and Quick-DASH score (from 46.9 to 12.2) during the mean follow-up of 15.6 months (range: 8–36 months). Based on the results of this study, remaining ulnar TFCC remnants may be appropriate for sufficient stable repair using an arthroscopic one-tunnel transosseous suture technique after failed primary repair. However, only a small number of patients was examined. A larger number has to be investigated to confirm the promising preliminary results. Level IV, therapeutic case series. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink