The medium term outcomes of an all-arthroscopic triangular fibrocartilage complex foveal reconstruction using tendon graft
Purpose In patients with symptomatic chronic tear of the triangular fibrocartilage complex (TFCC), reconstruction with a tendon graft is indicated. We propose an arthroscopic-assisted technique to reconstruct the TFCC and to stabilize the distal radioulnar joint. Methods Patients with a chronic fove...
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| Veröffentlicht in: | International orthopaedics 2021-05, Vol.45 (5), p.1273-1279 |
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| container_title | International orthopaedics |
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| creator | Liu, Bo Fok, Margaret Woon Man |
| description | Purpose
In patients with symptomatic chronic tear of the triangular fibrocartilage complex (TFCC), reconstruction with a tendon graft is indicated. We propose an arthroscopic-assisted technique to reconstruct the TFCC and to stabilize the distal radioulnar joint.
Methods
Patients with a chronic foveal TFCC tear of which it is deem not reparable were recruited. TFCC reconstruction was performed by making use of the TFCC remnants and a palmaris tendon graft under arthroscopic guidance.
Results
Twelve patients with an average age of 29 years old were evaluated. Three patients had concomitant ulnar shortening procedure. The average follow-up period was 29 months. All patients had stable DRUJ. Significant improvement was noted for pain score (from 4 to 1), DASH score (from 31 to 9.5), and Mayo modified wrist score (from 82 to 95). Grip strength was improved and the range of movement of the wrist was maintained. No complication nor graft re-rupture was noted.
Conclusion
This is a viable arthroscopic technique of TFCC reconstruction in a selected group of patients who had chronic foveal TFCC tear. |
| doi_str_mv | 10.1007/s00264-021-04976-9 |
| format | Article |
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In patients with symptomatic chronic tear of the triangular fibrocartilage complex (TFCC), reconstruction with a tendon graft is indicated. We propose an arthroscopic-assisted technique to reconstruct the TFCC and to stabilize the distal radioulnar joint.
Methods
Patients with a chronic foveal TFCC tear of which it is deem not reparable were recruited. TFCC reconstruction was performed by making use of the TFCC remnants and a palmaris tendon graft under arthroscopic guidance.
Results
Twelve patients with an average age of 29 years old were evaluated. Three patients had concomitant ulnar shortening procedure. The average follow-up period was 29 months. All patients had stable DRUJ. Significant improvement was noted for pain score (from 4 to 1), DASH score (from 31 to 9.5), and Mayo modified wrist score (from 82 to 95). Grip strength was improved and the range of movement of the wrist was maintained. No complication nor graft re-rupture was noted.
Conclusion
This is a viable arthroscopic technique of TFCC reconstruction in a selected group of patients who had chronic foveal TFCC tear.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-021-04976-9</identifier><identifier>PMID: 33619584</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Medicine ; Medicine & Public Health ; Original Paper ; Orthopedics</subject><ispartof>International orthopaedics, 2021-05, Vol.45 (5), p.1273-1279</ispartof><rights>SICOT aisbl 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-f786a91191a78c75f7138a104d2ec71b2e636de338da975edf8268dda5731a103</citedby><cites>FETCH-LOGICAL-c347t-f786a91191a78c75f7138a104d2ec71b2e636de338da975edf8268dda5731a103</cites><orcidid>0000-0002-2262-2850</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00264-021-04976-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00264-021-04976-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33619584$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Bo</creatorcontrib><creatorcontrib>Fok, Margaret Woon Man</creatorcontrib><title>The medium term outcomes of an all-arthroscopic triangular fibrocartilage complex foveal reconstruction using tendon graft</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Purpose
In patients with symptomatic chronic tear of the triangular fibrocartilage complex (TFCC), reconstruction with a tendon graft is indicated. We propose an arthroscopic-assisted technique to reconstruct the TFCC and to stabilize the distal radioulnar joint.
Methods
Patients with a chronic foveal TFCC tear of which it is deem not reparable were recruited. TFCC reconstruction was performed by making use of the TFCC remnants and a palmaris tendon graft under arthroscopic guidance.
Results
Twelve patients with an average age of 29 years old were evaluated. Three patients had concomitant ulnar shortening procedure. The average follow-up period was 29 months. All patients had stable DRUJ. Significant improvement was noted for pain score (from 4 to 1), DASH score (from 31 to 9.5), and Mayo modified wrist score (from 82 to 95). Grip strength was improved and the range of movement of the wrist was maintained. No complication nor graft re-rupture was noted.
Conclusion
This is a viable arthroscopic technique of TFCC reconstruction in a selected group of patients who had chronic foveal TFCC tear.</description><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Orthopedics</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kMuOFSEURYnR2NfWH3BgGDpBeVRBMTQdX0knTtox4VKHajoUXHkY9eulva1DR-TkrL3JWQi9ZPQNo1S9rZRyORHKGaGTVpLoR-jAJsHJzPT8GB2omBjhUs8X6Fmtd5QyJRf2FF0IIQexTAf06-YW8A5r6DtuUHace3N5h4qzxzZhGyOxpd2WXF0-BYdbCTZtPdqCfTiW7MY2RLsBHrFThB_Y5-9gIy7gcqqtdNdCTrjXkLbxRVrHsBXr23P0xNtY4cXDe4m-fnh_c_WJXH_5-Pnq3TVxYlKNeLVIqxnTzKrFqdkrJhbL6LRycIodOUghVxBiWa1WM6x-4XJZVzsrwQYnLtHrc--p5G8dajN7qA5itAlyr4ZPmkvJmdAD5WfUjXtrAW9OJey2_DSMmnvn5uzcDOfmj3NzH3r10N-Pw-S_yF_JAxBnoI5V2qCYu9xLGjf_r_Y3o9yPRQ</recordid><startdate>20210501</startdate><enddate>20210501</enddate><creator>Liu, Bo</creator><creator>Fok, Margaret Woon Man</creator><general>Springer Berlin Heidelberg</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2262-2850</orcidid></search><sort><creationdate>20210501</creationdate><title>The medium term outcomes of an all-arthroscopic triangular fibrocartilage complex foveal reconstruction using tendon graft</title><author>Liu, Bo ; Fok, Margaret Woon Man</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-f786a91191a78c75f7138a104d2ec71b2e636de338da975edf8268dda5731a103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Paper</topic><topic>Orthopedics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Bo</creatorcontrib><creatorcontrib>Fok, Margaret Woon Man</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Bo</au><au>Fok, Margaret Woon Man</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The medium term outcomes of an all-arthroscopic triangular fibrocartilage complex foveal reconstruction using tendon graft</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2021-05-01</date><risdate>2021</risdate><volume>45</volume><issue>5</issue><spage>1273</spage><epage>1279</epage><pages>1273-1279</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Purpose
In patients with symptomatic chronic tear of the triangular fibrocartilage complex (TFCC), reconstruction with a tendon graft is indicated. We propose an arthroscopic-assisted technique to reconstruct the TFCC and to stabilize the distal radioulnar joint.
Methods
Patients with a chronic foveal TFCC tear of which it is deem not reparable were recruited. TFCC reconstruction was performed by making use of the TFCC remnants and a palmaris tendon graft under arthroscopic guidance.
Results
Twelve patients with an average age of 29 years old were evaluated. Three patients had concomitant ulnar shortening procedure. The average follow-up period was 29 months. All patients had stable DRUJ. Significant improvement was noted for pain score (from 4 to 1), DASH score (from 31 to 9.5), and Mayo modified wrist score (from 82 to 95). Grip strength was improved and the range of movement of the wrist was maintained. No complication nor graft re-rupture was noted.
Conclusion
This is a viable arthroscopic technique of TFCC reconstruction in a selected group of patients who had chronic foveal TFCC tear.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33619584</pmid><doi>10.1007/s00264-021-04976-9</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2262-2850</orcidid></addata></record> |
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| language | eng |
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| source | Springer Nature - Complete Springer Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Medicine Medicine & Public Health Original Paper Orthopedics |
| title | The medium term outcomes of an all-arthroscopic triangular fibrocartilage complex foveal reconstruction using tendon graft |
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