Midterm Results after Open versus Arthroscopic Transosseous Repair for Foveal Tears of the Triangular Fibrocartilage Complex

Journal of Wrist Surgery
Yukio AbeTakeyoshi Fujisawa

Abstract

Purpose  Various surgical procedures for foveal tears of the triangular fibrocartilage complex (TFCC) have been reported, and the procedures can be grossly divided into open and arthroscopic repair. The surgical results of both procedures were compared. Materials and Methods  Twenty-nine patients underwent repair of a TFCC foveal tear. The 13 men and 16 women were in the age range of 14 to 72 years (average age, 30 years). Five patients had a history of distal radius fractures that healed uneventfully with nonoperative treatment. The mean duration of symptoms before surgery was 7.1 months. The procedure for repair consisted of 8 open repairs and 21 arthroscopic repairs. In both procedures, the TFCC was repaired transosseously to the ulna. The mean follow-up period was 34.4 (range, 24-70) months. The patients' pain, range of motion (ROM), grasping power, ulnar head instability, Disabilities of the Arm, Shoulder and Hand questionnaire (DASH), and Mayo modified wrist score (MMWS) were evaluated. The operating time was also compared. Results  There were no significant differences between the groups in pain, ROM, grasping power, ulnar head instability, and DASH. The MMWS was excellent in 8 patients in the open repair group, with 18 ...Continue Reading

Citations

Feb 20, 2020·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Yuji TomoriShinro Takai
May 16, 2020·Techniques in Hand & Upper Extremity Surgery·Bo Liu, Margareta Arianni
Dec 29, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Hyoung-Seok JungJae-Sung Lee
Jan 25, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Yukio Abe
Feb 9, 2021·Journal of Wrist Surgery·Edward H LiuEugene T Ek
Mar 23, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Andrea AtzeiSilvia Barbon
Jun 3, 2021·Journal of Clinical Medicine·Florian Schachinger, Sebastian Farr
Nov 26, 2021·Bone & Joint Open·Reinier FeitzUNKNOWN Hand-Wrist Study Group

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