Single-strand repair of EWAS 1 lesion of triangular fibrocartilage complex

Purpose To report the results of our modified technique for repair of the EWAS 1 lesion of triangular fibrocartilage complex (TFCC). Methods This retrospective case series reviewed 22 consecutive patients with EWAS 1 TFCC tear. Arthroscopic repair was done using our modified double-loop arthroscopic...

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Veröffentlicht in:European journal of orthopaedic surgery & traumatology 2021-02, Vol.31 (2), p.327-332
Hauptverfasser: Soliman, Ramy Ahmed, El-Mahy, Mohamed Mostafa, Atiyya, Ahmed Naeem, Emara, Khaled M., Fayyad, Tamer Ahmed, Sobhy, Mohamed Hassan, Diab, Ramy Ahmed
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container_issue 2
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container_title European journal of orthopaedic surgery & traumatology
container_volume 31
creator Soliman, Ramy Ahmed
El-Mahy, Mohamed Mostafa
Atiyya, Ahmed Naeem
Emara, Khaled M.
Fayyad, Tamer Ahmed
Sobhy, Mohamed Hassan
Diab, Ramy Ahmed
description Purpose To report the results of our modified technique for repair of the EWAS 1 lesion of triangular fibrocartilage complex (TFCC). Methods This retrospective case series reviewed 22 consecutive patients with EWAS 1 TFCC tear. Arthroscopic repair was done using our modified double-loop arthroscopic outside-in technique which is originally described by Mathoulin and Del Piñal. The repair was performed using single-strand suture and 18-gauge cannula, having three passes through the tear. Follow-ups ranged from 24 to 33 months with an average of 29.3 months. The results were evaluated by the Modified Mayo Wrist Score (MMWS), Visual Analog Score (VAS). In addition, range of motion (ROM) and power grip were compared with the contralateral side. Results The mean age was 23 years. The dominant side was affected in 16 wrists. There was postoperative improvement of the all functional outcome measures (MMWS, VAS, ROM, and power grip). All the patients returned to their previous activities with no reported intra- or postoperative complications. Conclusions The described outside-in technique is safe and effective technique for repair of EWAS 1 TFCC tear. Level of evidence Therapeutic, case series, level IV.
doi_str_mv 10.1007/s00590-020-02781-5
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Methods This retrospective case series reviewed 22 consecutive patients with EWAS 1 TFCC tear. Arthroscopic repair was done using our modified double-loop arthroscopic outside-in technique which is originally described by Mathoulin and Del Piñal. The repair was performed using single-strand suture and 18-gauge cannula, having three passes through the tear. Follow-ups ranged from 24 to 33 months with an average of 29.3 months. The results were evaluated by the Modified Mayo Wrist Score (MMWS), Visual Analog Score (VAS). In addition, range of motion (ROM) and power grip were compared with the contralateral side. Results The mean age was 23 years. The dominant side was affected in 16 wrists. There was postoperative improvement of the all functional outcome measures (MMWS, VAS, ROM, and power grip). All the patients returned to their previous activities with no reported intra- or postoperative complications. Conclusions The described outside-in technique is safe and effective technique for repair of EWAS 1 TFCC tear. 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Methods This retrospective case series reviewed 22 consecutive patients with EWAS 1 TFCC tear. Arthroscopic repair was done using our modified double-loop arthroscopic outside-in technique which is originally described by Mathoulin and Del Piñal. The repair was performed using single-strand suture and 18-gauge cannula, having three passes through the tear. Follow-ups ranged from 24 to 33 months with an average of 29.3 months. The results were evaluated by the Modified Mayo Wrist Score (MMWS), Visual Analog Score (VAS). In addition, range of motion (ROM) and power grip were compared with the contralateral side. Results The mean age was 23 years. The dominant side was affected in 16 wrists. There was postoperative improvement of the all functional outcome measures (MMWS, VAS, ROM, and power grip). All the patients returned to their previous activities with no reported intra- or postoperative complications. Conclusions The described outside-in technique is safe and effective technique for repair of EWAS 1 TFCC tear. 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traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soliman, Ramy Ahmed</au><au>El-Mahy, Mohamed Mostafa</au><au>Atiyya, Ahmed Naeem</au><au>Emara, Khaled M.</au><au>Fayyad, Tamer Ahmed</au><au>Sobhy, Mohamed Hassan</au><au>Diab, Ramy Ahmed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Single-strand repair of EWAS 1 lesion of triangular fibrocartilage complex</atitle><jtitle>European journal of orthopaedic surgery &amp; traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>31</volume><issue>2</issue><spage>327</spage><epage>332</epage><pages>327-332</pages><issn>1633-8065</issn><eissn>1432-1068</eissn><abstract>Purpose To report the results of our modified technique for repair of the EWAS 1 lesion of triangular fibrocartilage complex (TFCC). Methods This retrospective case series reviewed 22 consecutive patients with EWAS 1 TFCC tear. Arthroscopic repair was done using our modified double-loop arthroscopic outside-in technique which is originally described by Mathoulin and Del Piñal. The repair was performed using single-strand suture and 18-gauge cannula, having three passes through the tear. Follow-ups ranged from 24 to 33 months with an average of 29.3 months. The results were evaluated by the Modified Mayo Wrist Score (MMWS), Visual Analog Score (VAS). In addition, range of motion (ROM) and power grip were compared with the contralateral side. Results The mean age was 23 years. The dominant side was affected in 16 wrists. There was postoperative improvement of the all functional outcome measures (MMWS, VAS, ROM, and power grip). All the patients returned to their previous activities with no reported intra- or postoperative complications. Conclusions The described outside-in technique is safe and effective technique for repair of EWAS 1 TFCC tear. Level of evidence Therapeutic, case series, level IV.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>32875472</pmid><doi>10.1007/s00590-020-02781-5</doi><tpages>6</tpages></addata></record>
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subjects Bone surgery
Medicine
Medicine & Public Health
Original Article
Range of motion
Surgical Orthopedics
Sutures
Traumatic Surgery
Wrist
title Single-strand repair of EWAS 1 lesion of triangular fibrocartilage complex
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