Arthroscopic triangular fibrocartilage complex reconstruction with free tendon graft for chronic distal radioulnar joint instability

Abstract Background Tears in the triangular fibrocartilage complex (TFCC) often manifest as ulnar wrist pain and limited wrist function. In chronic cases, the treatment of large tears with irreparable TFCC degeneration combined with distal radioulnar joint (DRUJ) instability is difficult. In the cur...

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Autores principales:	Kuang-Ting Yeh, Jui-Tien Shih
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Arthroscopy Irreparable Reconstruction Triangular fibrocartilage complex Wrist Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/0cf6cb0f5d2145b5a258b06668f4a140
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spelling	oai:doaj.org-article:0cf6cb0f5d2145b5a258b06668f4a1402021-11-21T12:29:54ZArthroscopic triangular fibrocartilage complex reconstruction with free tendon graft for chronic distal radioulnar joint instability10.1186/s13018-021-02827-21749-799Xhttps://doaj.org/article/0cf6cb0f5d2145b5a258b06668f4a1402021-11-01T00:00:00Zhttps://doi.org/10.1186/s13018-021-02827-2https://doaj.org/toc/1749-799XAbstract Background Tears in the triangular fibrocartilage complex (TFCC) often manifest as ulnar wrist pain and limited wrist function. In chronic cases, the treatment of large tears with irreparable TFCC degeneration combined with distal radioulnar joint (DRUJ) instability is difficult. In the current report, we describe the outcomes of a minimally invasive technique for TFCC reconstruction using the free palmaris longus (PL) tendon via arthroscopy. Methods We examined the cases of 67 adult patients [54 men and 13 women; age range, 19–34 years (mean age, 26.4 years)] treated for chronic and irreparable TFCC tears from 2001 to 2019. We used the arthroscopic TFCC reconstruction method with the free PL tendon for all chronic and irreparable TFCC injuries with DRUJ instability in our clinic. Thereafter, the patients underwent the rehabilitation program, which included wrist motion and occupational therapy. The mean time period from the event causing the tear to the operation was 22.6 months. Results The function results of these patients significantly improved, and the ulnar wrist pain significantly decreased at postoperative follow-up. Of the 67 patients, 38 rated their wrists as “excellent,” 26 as “good,” and 3 as “fair.” None of the patients developed wound infections or complications. Conclusions The results of this study suggest that arthroscopic TFCC reconstruction using the free PL tendon is an effective method for treating chronic and irreparable TFCC tears with DRUJ instability.Kuang-Ting YehJui-Tien ShihBMCarticleArthroscopyIrreparableReconstructionTriangular fibrocartilage complexWristOrthopedic surgeryRD701-811Diseases of the musculoskeletal systemRC925-935ENJournal of Orthopaedic Surgery and Research, Vol 16, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Arthroscopy Irreparable Reconstruction Triangular fibrocartilage complex Wrist Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935
spellingShingle	Arthroscopy Irreparable Reconstruction Triangular fibrocartilage complex Wrist Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935 Kuang-Ting Yeh Jui-Tien Shih Arthroscopic triangular fibrocartilage complex reconstruction with free tendon graft for chronic distal radioulnar joint instability
description	Abstract Background Tears in the triangular fibrocartilage complex (TFCC) often manifest as ulnar wrist pain and limited wrist function. In chronic cases, the treatment of large tears with irreparable TFCC degeneration combined with distal radioulnar joint (DRUJ) instability is difficult. In the current report, we describe the outcomes of a minimally invasive technique for TFCC reconstruction using the free palmaris longus (PL) tendon via arthroscopy. Methods We examined the cases of 67 adult patients [54 men and 13 women; age range, 19–34 years (mean age, 26.4 years)] treated for chronic and irreparable TFCC tears from 2001 to 2019. We used the arthroscopic TFCC reconstruction method with the free PL tendon for all chronic and irreparable TFCC injuries with DRUJ instability in our clinic. Thereafter, the patients underwent the rehabilitation program, which included wrist motion and occupational therapy. The mean time period from the event causing the tear to the operation was 22.6 months. Results The function results of these patients significantly improved, and the ulnar wrist pain significantly decreased at postoperative follow-up. Of the 67 patients, 38 rated their wrists as “excellent,” 26 as “good,” and 3 as “fair.” None of the patients developed wound infections or complications. Conclusions The results of this study suggest that arthroscopic TFCC reconstruction using the free PL tendon is an effective method for treating chronic and irreparable TFCC tears with DRUJ instability.
format	article
author	Kuang-Ting Yeh Jui-Tien Shih
author_facet	Kuang-Ting Yeh Jui-Tien Shih
author_sort	Kuang-Ting Yeh
title	Arthroscopic triangular fibrocartilage complex reconstruction with free tendon graft for chronic distal radioulnar joint instability
title_short	Arthroscopic triangular fibrocartilage complex reconstruction with free tendon graft for chronic distal radioulnar joint instability
title_full	Arthroscopic triangular fibrocartilage complex reconstruction with free tendon graft for chronic distal radioulnar joint instability
title_fullStr	Arthroscopic triangular fibrocartilage complex reconstruction with free tendon graft for chronic distal radioulnar joint instability
title_full_unstemmed	Arthroscopic triangular fibrocartilage complex reconstruction with free tendon graft for chronic distal radioulnar joint instability
title_sort	arthroscopic triangular fibrocartilage complex reconstruction with free tendon graft for chronic distal radioulnar joint instability
publisher	BMC
publishDate	2021
url	https://doaj.org/article/0cf6cb0f5d2145b5a258b06668f4a140
work_keys_str_mv	AT kuangtingyeh arthroscopictriangularfibrocartilagecomplexreconstructionwithfreetendongraftforchronicdistalradioulnarjointinstability AT juitienshih arthroscopictriangularfibrocartilagecomplexreconstructionwithfreetendongraftforchronicdistalradioulnarjointinstability
_version_	1718418927058419712

Arthroscopic triangular fibrocartilage complex reconstruction with free tendon graft for chronic distal radioulnar joint instability

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